title: [A case of unilateral ischemic stroke with ipsilateral limb-kinetic apraxia].
abstract: A 74-year-old man developed aphasia, weakness of the right upper extremity and left limb-kinetic apraxia. Brain MRI showed an infarct in the area supplied by the left middle cerebral artery. Cerebral angiography revealed high grade stenosis with plaques of bilateral proximal internal carotid arteries. The carotid endarterectomy of the left carotid artery was performed three months later. After this operation his left limb-kinetic apraxia improved. We considered transhemispheric diaschisis, callosal apraxia or diagonistic dyspraxia as a possible cause of this rare symptom.
authors.affiliation: Stroke Center, Saiseikai Kumamoto Hospital.
authors.forename: Kaori
authors.initials: K
authors.lastname: Tokisato
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Inatomi
authors.forename: Toshiro
authors.initials: T
authors.lastname: Yonehara
authors.forename: Shodo
authors.initials: S
authors.lastname: Fujioka
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Teruyuki
authors.initials: T
authors.lastname: Hirano
authors.forename: Makoto
authors.initials: M
authors.lastname: Uchino
authors.forename: Koichi
authors.initials: K
authors.lastname: Tagawa
mesh_terms: D000368:Aged; D020240:Apraxia, Ideomotor / Q000209:etiology*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery; D016894:Endarterectomy, Carotid; D007839:Functional Laterality; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male