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AJNR - American Journal of Neuroradiology

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Pure Sensory Stroke Caused by a Cerebral Hemorrhage: Clinical-Radiologic Correlations in Seven Patients

Shuzo Shintani^,a, Shin Tsuruoka^a and Tatsuo Shiigai^a

^a From the Departments of Neurology (S.S.), Neurosurgery (S.T.), and Internal Medicine (T.S.), Toride Kyodo General Hospital, Ibaraki, Japan.

View larger version (26K): [in a new window]   FIG 1. Diagram of the distribution of somatosensory deficits in three patients with thalamic lesions (patients 1-3). Panel numbers correspond to patient numbers in the text.

View larger version (97K): [in a new window]   FIG 2. MR images show thalamic and pontine hemorrhages (arrowheads) causing pure sensory stroke (panels 1-5, corresponding to patient numbers in the text); in five patients, schematic distributions of these lesions are presented.

View larger version (26K): [in a new window]   FIG 3. Diagram of the distribution of somatosensory deficits in four patients with lesions of the pons (patients 4 and 5), internal capsule (patient 6), and cerebral cortex (patient 7). Panel numbers correspond to patient numbers in the text.

View larger version (85K): [in a new window]   FIG 4. MR images show capsular and cortical lesions (panels 6 and 7); schematic distributions of the lesions are presented. Coronal T1-weighted MR image of patient 7 (panel 7–2) and schematic somatotopic sensory distributions on the postcentral gyrus (according to Penfield and Rasmussen) show the hemorrhage involving the face and hand areas.