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Neurology 2001;57:711-713
© 2001 American Academy of Neurology
Brief Communications

Stereotyped stepping associated with lesions in the bilateral medial frontoparietal cortices

Shunichi Sato, MD, PhD;, Takao Hashimoto, MD, PhD;, Akinori Nakamura, MD, PhD; and Shu-ichi Ikeda, MD, PhD

From the Third Department of Medicine (Neurology), Shinshu University School of Medicine, Matsumoto, Japan.

Address correspondence and reprint requests to Dr. Takao Hashimoto, Third Department of Medicine (Neurology), Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto 390-8621, Japan; e-mail: takahhh@ hsp.md.shinshu-u.ac.jp

The location of higher locomotion centers in humans is not well defined. The authors describe stereotyped bipedal stepping movement in a patient with meningoencephalitis with necrotic lesions localized mainly in the bilateral medial frontoparietal cortices. The patient intermittently showed stereotyped stepping in the supine position during a stuporous state. The stereotyped stepping in this patient offers clinical evidence indicating the presence of a higher locomotion center in medial frontoparietal cortex.






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