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George W. Paulson, MD; Allan J. Yates, MD, PhD; José D. Paltan-Ortiz, MD

Arch Neurol. 1986;43(1):93-95.

Abstract
• A 60-year-old patient developed leg weakness leading to spasticity, secondary to a sharply localized infarction of the medullary pyramids. Within a month, spasticity had replaced the initial flaccidity. Several years later, rupture of an atherosclerotic aneurysm of the basilar artery led to subarachnoid hemorrhage and eventual death.

Author Affiliations
From the Departments of Neurology (Dr Paulson) and Neuropathology (Drs Yates and Paltan-Ortiz), Ohio State University College of Medicine, Columbus.

Footnotes
Accepted for publication Dec 18, 1984.

Reprint requests to 452 Means Hall, 1655 Upham Dr, Columbus, OH 43210 (Dr Paulson).

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