Pseudobulbar palsy with minimal limb involvement caused by cerebrovascular diseases.

Ohmori Susumu, Tagawa Koichi, Yamamoto Misao, Fukuhara Masayo, lino Kozo

doi:10.2496/apr.12.271

Bibliographic Information

Other Title

四肢の運動麻ひが目立たず重度の仮性球麻ひを呈する脳血管障害例の検討

Abstract

We reported five cases with sudden onset of severe supranuclear dysarthria and dysphagia following recurrent minor stroke.<br> The subjects included one patient with bilateral putaminal hemorrhage, two patients with bilateral infarction in the region of the penetrating branches of the middle cerebral artery, one patient with putaminal hemorrhage followed by contralateral infarction, and one patient with putaminal hemorrhage after contralateral silent infarction. Four patients had almost improved before the recurrence damaging the contralateral hemisphere.<br> The outstanding clinical features were severe dysarthria and dysphagia compared to minimal limb involvement. No gait disturbance, emotional incontinence, intellectual impairment, extrapyramidal signs, or sphincter disturbances were observed. CT scan showed bilateral lesions involving the genu of the internal capsule and/or the junction of the internal capsule with the corona radiata.<br> These findings suggest that the corticobulbar tract is located in the genu of the internal capsule and the junction of the internal capsule with the corona radiata, and that bilateral damage to the corticobulbar tract at these levels could play an important role in the development of severe dysarthria and dysphagia.

Journal

Higher Brain Function Research

Higher Brain Function Research 12 (3), 271-277, 1992

Japanese Society of Aphasiology (Renamed as Japan Society for Higher Brain Dysfunction)

Keywords

Details 詳細情報について

CRID: 1390001204762800640

NII Article ID: 130004482390

DOI: 10.2496/apr.12.271

ISSN: 18806716; 02859513

Text Lang: ja

Data Source

JaLC
Crossref
CiNii Articles

Abstract License Flag: Disallowed

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