Rinsho Shinkeigaku (Clinical Neurology)

Case Report

A case of body lateropulsion to the left in acute cerebral infarction of the right medial parietal lesion

Atsushi Takamatsu, M.D.1), Kenichi Sakajiri, M.D., Ph.D.1) and Eishun Nitta, M.D., Ph.D.1)

1)Department of Neurology, National Hospital Organization Kanazawa Medical Center

A 68-year-old right-handed woman with acute-onset inability to stand was admitted to our department. Although left hemiparesis was minor, the neurological examination on admission showed marked body lateropulsion (BL) to the left when she stood or stepped with eyes open and feet closed. Neither ataxia nor sensory disturbance was present. Brain MRI and 3D-CT angiography revealed infarction of the right posterior cingulate and the precuneus due to dissection of the right anterior cerebral artery. BL improved on day 10 and she was discharged without sequelae on day 26. BL caused by cerebral lesions is rare, and we should recognize that infarction of the posterior cingulate and/or the precuneus can cause BL.
Full Text of this Article in Japanese PDF (639K)

(CLINICA NEUROL, 58: 451|455, 2018)
key words: body lateropulsion, posterior cingulate, precuneus, anterior cerebral artery dissection, cerebral infarction

(Received: 27-Mar-18)