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The Journal of Internal Korean Medicine 2001;22(2): 263-269. |
| 대뇌피질경색으로 인한 하지 단마비 환자 2례 |
| 신정애, 손동혁, 유경숙, 이진구, 이영구 |
| 우석대학교 한의과대학 내과학교실 |
| 2 Cases of Lower Limb Monoplegia due to Brain Cortical Infarction |
| Jung-ae Shin, Dong-hyuk Son, Kyung-suk Yu, Jin-goo Lee, Young-goo Lee |
| Department of Internal Medicine, College of Oriental Medicine, Woosuk University |
| Correspondence |
Young-goo Lee ,
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Received: June 28, 2001, Accepted: August 6, 2001, Published online: June 30, 2001. |
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| ABSTRACT |
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Monoplegia is the paralysis of either the upper or lower limb. Monoplegia is commonly caused by an injury to the cerebral cortex; it is rarely caused by an injury to the internal capsule, brain stem, or spinal cord. Most cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. According to motor homunculus, lower limb monoplegia occurs from limited damage to the most upper part of the primary motor area(Brodmann s area 4, located in precentral gyrus). Clinically, lower limb monoplegia due to brain cortical infarction is commonly misunderstood as monoplegia due to spinal injury because the lesion is situated at the most upper part of precentral gyrus. We had many difficulties in finding lesion on brain CT, but we diagnosed two patients correctly by using an MRI, who have lower limb monoplegia due to brain cortical infarction oriental treatment. |
| Key words:
Monoplegia, Lower limb, Cortical infarction |
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