Highly functional ipsilateral motor control after extensive left hemispheric damage during gestation.

Abstract:

:In large early cortical lesions, one of the most devastating consequences is the impaired motor dexterity of the contralateral limb. We present the case of an 8-year-old girl with a large left hemispherical porencephaly. Unlike previous reports, the girl exhibited high dexterity of the contralateral hand with preserved independent finger movements. We performed functional MRI of hand motor functions and diffusion tensor imaging, which revealed activation of the ipsilateral motor cortex and absence of a contralateral corticospinal tract. These observations suggest that by intensive training in early life, a complete transhemispheric shift of motor control with high skills can be achieved.

journal_name

Neurocase

journal_title

Neurocase

authors

Weber B,Fliessbach K,Elger CE

doi

10.1080/13554790601126195

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

292-5

issue

5

eissn

1355-4794

issn

1465-3656

pii

PV3331303310394R

journal_volume

12

pub_type

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