title: Clinical recovery from stroke lesions and related outcomes.
abstract: Stroke lesions affect neurological status and are a critical determinant of treatment. This study investigated stroke lesions in terms of clinical recovery and related outcomes. Twenty-seven stroke patients were assessed via longitudinal observational study. Brain lesions were evaluated using MRI. The Fugl-Meyer Assessment and clinical evaluations were performed monthly between 1 and 6months after onset. The anterior limb (ICAL) and genu (ICG) of the internal capsule were associated with recovery of the upper limbs in chronic stroke patients. Involvement of the anterior half of the middle third of the corona radiata, the ICAL, the ICG, and the caudate nucleus were related to recovery of the lower limbs. Involvement of the middle third of the corona radiata, the ICAL, the ICG, and the lentiform nucleus were associated with sensory recovery. Clinical recovery from stroke, in terms of motor and sensory function, was related to injury in several white matter areas, such as the corona radiata and internal capsule, and was also associated with the basal ganglia as a gait pattern generator. Clinicians should be aware of stroke lesions, and should design therapeutic strategies accordingly, also with respect to treatment duration.
authors.affiliation: Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea.
authors.forename: Kyoung Bo
authors.initials: KB
authors.lastname: Lee
authors.affiliation: Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea.
authors.forename: Joon Sung
authors.initials: JS
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea.
authors.forename: Bo Young
authors.initials: BY
authors.lastname: Hong
authors.affiliation: Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea. Electronic address: seonghoon@catholic.ac.kr.
authors.forename: Seong Hoon
authors.initials: SH
authors.lastname: Lim
mesh_terms: D000328:Adult; D000368:Aged; D001479:Basal Ganglia / Q000473:pathology; D063226:Central Pattern Generators / Q000473:pathology; D005260:Female; D005684:Gait; D006801:Humans; D020772:Internal Capsule / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009068:Movement; D020127:Recovery of Function; D020521:Stroke / Q000175:diagnosis* / Q000628:therapy; D000071939:Stroke Rehabilitation
keywords: Outcome; Recovery; Stroke