title: Activation of the left motor cortex during left leg movements after right central resection.
abstract: A patient with Rasmussen's encephalitis underwent a right central resection at the age of 6 as a treatment for status epilepticus. She became seizure free, but suffered a left hemiplegia which improved so that she could walk. Because of the recurrence of seizures an enlargement of the resection to a hemispherectomy was carried out 17 years after the first operation. Various examinations, including H(2)(15)O PET and amytal testing, performed before this second operation indicated that a compensatory reinforcement of the ipsilateral uncrossed corticospinal and spinocortical pathways had taken place. This was confirmed postoperatively. The patient had no new sensorimotor deficits.
authors.affiliation: Department of Neurology, University Hospital Zurich, Switzerland. hgwepi@neurol.unizh.ch
authors.forename: H G
authors.initials: HG
authors.lastname: Wieser
authors.forename: K
authors.initials: K
authors.lastname: Henke
authors.forename: D
authors.initials: D
authors.lastname: Zumsteg
authors.forename: E
authors.initials: E
authors.lastname: Taub
authors.forename: Y
authors.initials: Y
authors.lastname: Yonekawa
authors.forename: A
authors.initials: A
authors.lastname: Buck
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000601:surgery; D004660:Encephalitis / Q000503:physiopathology*; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D007866:Leg / Q000502:physiology*; D009044:Motor Cortex / Q000000981:diagnostic imaging / Q000503:physiopathology*; D009068:Movement / Q000502:physiology*; D014055:Tomography, Emission-Computed