This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Thomas R. Price, MD
Department of Neurology University of Maryland Hospital 22 S Greene St Baltimore, MD 21201

Arch Neurol. 1989;46(11):1164.

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

To the Editor.

—Dr Fisher's article "Herald Hemiparesis" added a few new cases to the literature about a phenomenon already recognized and reported several times. Dr Fisher cites only one reference that is not about this problem. In 1983, Liu and coworkers¹ described three patients (two who underwent autopsy) that presented with dysarthria and unilateral sensory or motor deficit, and then evolved or progressed. The point of their article was to call attention to the misleading early presentation due to basilar artery disease and the later progression of deficit. They cited four previous reports of cases with such a deficit and progression to a locked-in state. An additional abstract in 19842 reported the frequency of initial unilateral hemiparesis (15 of 59 brainstem infarctions, of which 10 progressed).

Reports of observations of patients are the foundation of clinical knowledge. I have always thought that a requirement for their success is . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?