[Hemiparesis with lingual involvement. Hematoma of the genu of the internal capsule].
A 62 year-old hypertensive patient with a small left lenticulo-capsular hematoma presented with a right facio-brachial hemiparesis, dysarthria, and a right lingual paresis. The hematoma was limited to the genu and the anterior part of the posterior limb of the internal capsule. The occurrence of this incomplete pseudo-opercular syndrome in relation to a capsular lesion provides evidence for a cortico-hypoglossal projection with predominantly crossed fibers. The situation of the pyramidal tract in the internal capsule is considered.
D002543:Cerebral Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D004401:Dysarthria / Q000209:etiology*; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D013064:Speech Disorders / Q000209:etiology*; D013687:Telencephalon / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014060:Tongue Diseases / Q000209:etiology
Hémiparésie avec atteinte linguale. Hématome du genou de la capsule interne.