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Ataxic Hemiparesis
Ataxic Hemiparesis
HOMOLATERAL ATAXIA AND CRURAL PARESIS: coined by Fisher later renamed the syndrome "ataxic
hemiparesis," meaning
any combination of weakness and incoordination, out of proportion to weakness, on the same
side of the body.
- "weakness of the lower limb, especially the ankle and toes, and a Babinski sign,
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associated with striking dysmetria of the arm and leg on the same side."[7]
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Causes
Lesions that simultaneously interrupt
Locations
The corona radiata and the anterior limb of the internal capsule are common sites of injury.
Fisher reported 3 autopsied cases (coined ataxia-hemiparesis in this paper) that showed contralateral lacunar
infarcts in the upper basis pontis.[59, 60]
A computed tomography (CT)-based series of patients with ataxic hemiparesis has also shown lesions in the
Overall, no distinct clinical features differentiate lacunar infarctions originating in the capsule from
those in the pons.[72]
In addition to small, deep infarcts, larger anterior cerebral artery infarcts have been recognized as a cause of
ataxic hemiparesis with leg-predominant weakness.
Ataxic hemiparesis also has been described in several nonischemic lesions, particularly hemorrhages[73, 74] and
tumors[75, 76] .
Disease course
Overall, improvement occurs within days or weeks. Occasionally, the hemiparesis improves, and the ataxia
remains.[77]