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Jose A. Obeso, MD; J. F. Marti-Masso, MD; N. Carrera, MD; W. Astudillo, MD

Arch Neurol. 1980;37(4):248.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

When impairment of motor function in a patient with stroke is bilateral, it is considered almost unequivocal evidence that the lesion lies infratentorially.¹ Very recently, a syndrome of pure motor hemiplegia with relative sparing of the face and articulation secondary to pyramidal infarction in the medulla has been defined.² We describe a patient with pure motor quadriplegia, sparing the face, secondary to bilateral hematoma in the internal capsules.

REPORT OF A CASE

A hypertensive 58-year-old woman was admitted because of left hemiplegia of rapid onset. On first examination, blood pressure was 200/110 mm Hg; she was conscious, with fluent normal speech. A severe left hemiplegia was present with normal facial and tongue movements. Position sense and light touch were intact. Graphesthesia and stereognosis were normal. Babinski's sign was present on the left. Lumbar puncture showed clear fluid under normal pressure, containing 115 RBCs per cubic millimeter. On the . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Neurology, Residencia Sanitaria, San Sebastian, Spain.

Footnotes
Accepted for publication June 24, 1979.

Reprint requests to Division of Neurology, Residenci Sanitaria, San Sebastian, Spain (Dr Obeso).

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