Motor recovery via the peri-infarct area in patients with corona radiata infarct.

Objectives: Diffusion tensor image tracography (DTT) could be useful for exploration of the state of the corticospinal tract at the subcortical white matter level. We investigated the neural pathway associated with motor recovery in the patients with corona radiata infarct (CR) using DTT. Design: Th...

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Publicado en:NeuroRehabilitation Vol. 22; no. 2; pp. 105 - 109
Autores principales: Kwon YH, Lee CH, Ahn SH, Lee MY, Yang DS, Byun WM, Park JW, Jang SH
Formato: Journal Article
Publicado: Sage Publications Inc. 2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2007
      vid: 22
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Motor recovery via the peri-infarct area in patients with corona radiata infarct.
      aug:
        au:
          Kwon YH
          Lee CH
          Ahn SH
          Lee MY
          Yang DS
          Byun WM
          Park JW
          Jang SH
      sug:
        subj:
          Hemiplegia Physiopathology
          Infarction
          Motor Activity Physiology
          Neural Pathways
          Recovery Physiology
          Aged
          Arm Physiopathology
          Female
          Hemiplegia Etiology
          Magnetic Resonance Imaging
          Male
          Middle Age
          Time Factors
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: Diffusion tensor image tracography (DTT) could be useful for exploration of the state of the corticospinal tract at the subcortical white matter level. We investigated the neural pathway associated with motor recovery in the patients with corona radiata infarct (CR) using DTT. Design: Three hemiparetic patients who showed severe weakness of the affected upper extremity at stroke onset, were recruited. DTT was performed twice (subacute and chronic stage) using 1.5-T system. Three-dimensional reconstructions of the fiber tracts were obtained with FA <0.2, angle >45 degrees as termination criteria. Results: In all patients, the motor function of the affected upper extremity has recovered to be functional state at second DTT scanning. The motor tracts of the affected hemisphere were observed to pass along the posterior portion of the CR infarct on both the first and second DTT. Conclusions: It seems that the motor function of the affected upper extremity of the patients recovered via the posterior portion of infarct. This finding may reflect functional reorganization of the motor pathway following damage to the corticospinal tract.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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