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Volume 65, Number 9, November 08, 2005
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NEUROLOGY 2005;65:1476-1478
© 2005 American Academy of Neurology


Brief Communications

Ictal monoparesis associated with lesions in the primary somatosensory area

R. Matsumoto, MD, PhD, A. Ikeda, MD, PhD, T. Hitomi, MD, T. Aoki, MD, T. Hanakawa, MD, PhD, Y. Miki, MD, PhD, H. Tomimoto, MD, PhD, S. Shimohama, MD, PhD and H. Shibasaki, MD, PhD

From the Departments of Neurology (Drs. Matsumoto, Ikeda, Hitomi, Tomimoto, Shimohama, and Shibasaki) and Diagnostic Imaging and Nuclear Medicine (Dr. Miki) and Human Brain Research Center (Dr. Hanakawa), Kyoto University Graduate School of Medicine, and Department of Neurosurgery (Dr. Aoki), Shiga Medical Center for Adults, Moriyama, Japan.

Address correspondence and reprint requests to Dr. A. Ikeda, Department of Neurology, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo, Kyoto, 606-8507, Japan; e-mail: akio{at}kuhp.kyoto-u.ac.jp.

Reported are three patients with ictal monoparesis of an arm. In the hemisphere contralateral to the monoparesis, ictal and interictal epileptiform discharges were observed in the centroparietal area, and a well-circumscribed lesion was commonly present in the primary arm somatosensory area (SI). In the presence of an SI lesion, the epileptic activity at the sensorimotor area could lead to selective or predominant activation of the inhibitory motor system.


Dr. Shibasaki's current address is Takeda General Hospital, Kyoto, Japan.

Supported in part by Grants-in-Aid for Young Scientists (B) 17790578 from the Japan Ministry of Education, Culture, Sports, Science, and Technology (MEXT) to R.M., by a Research Grant from the Japan Epilepsy Research Foundation to R.M., and by a Research Grant for Treatment of Intractable Epilepsy (16-1) from the Japan Ministry of Health, Labor and Welfare and from Fujiwara Foundation to A.I.

Disclosure: The authors report no conflicts of interest.

Received April 20, 2005. Accepted in final form July 22, 2005.


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