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Middle cerebral artery territory infarction sparing the precentral gyrus: report of three cases
  1. C Portera-Cailliau1,2,
  2. C P Doherty1,2,
  3. F S Buonanno1,
  4. S K Feske2
  1. 1Department of Neurology, Massachusetts General Hospital
  2. 2Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
  1. Correspondence to:
 Dr Portera-Cailliau, New York Hospital, Columbia Presbyterian Medical Center, Center for Parkinson Disease and Other Movement Disorders Neurological Institute, Box 211 710 W 168th Street, New York, NY 10032, USA; 
 ccailliau{at}neuro.columbia.edu

Abstract

We report three patients with large middle cerebral artery infarctions in the non-dominant hemisphere, with striking recovery of motor function. In each case this excellent functional outcome correlated with selective sparing of the motor cortex in the precentral gyrus. We discuss some of the possible circulatory variants that might underlie this pattern of infarction.

  • embolism
  • ischemic penumbra
  • rehabilitation
  • spectacular shrinking deficit
  • stroke
  • MCA, middle cerebral artery
  • MRA, magnetic resonance angiography
  • PCG, precentral gyrus

https://doi.org/10.1136/jnnp.74.4.510

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