Hemiparetic Primary Lateral Sclerosis: Revisiting Mills Syndrome.
A slowly progressive hemiparesis beginning in a single limb with evolution to the ipsilateral limb was originally described in 8 patients in 1906 by Mills. We present 5 cases of progressive hemiparetic corticospinal tract degeneration, identified by the clinical presentation and the exclusion of other etiologies using serological, imaging, and electrodiagnostic studies.
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Md., USA.
Nicholas J
NJ
Maragakis
Neurology Specialists of Monmouth County, West Long Branch, N.J., USA ; Department of Neurology, Drexel University College of Medicine, Philadelphia, Pa., USA.
Neil R
NR
Holland
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Md., USA.
Andrea M
AM
Corse
Asymmetry; Mills syndrome; Primary lateral sclerosis; Prognosis