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|Year : 2019 | Volume
| Issue : 2 | Page : 613
Isolated astasia with anterior corpus callosum stroke
Jamir Pitton Rissardo, Ana Letícia Fornari Caprara
Federal University of Santa Maria Health Sciences Center, Santa Maria, Rio Grande do Sul, Brazil
|Date of Web Publication||13-May-2019|
Dr. Jamir Pitton Rissardo
Federal University of Santa Maria Health Sciences Center, Camobi Street, Km 09 - Universitary Campus Santa Maria/RS – 97105-900, Rio Grande do Sul
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Rissardo JP, Caprara AL. Isolated astasia with anterior corpus callosum stroke. Neurol India 2019;67:613
A 69-year old woman presented with acute inability to stand and walk. She had a previous diagnosis of hypertension, which was poorly controlled. Two days before the onset of symptoms, she had transient difficulty in standing, lasting for a few minutes.
Neurological examination showed an inability to stand or walk, with preserved ability to sit. Cerebellar signs, sensory deficits, pathological deep tendon reflexes, aphasia, apraxia, or amnesia were absent.
On the first day of admission, brain computed tomography scan was normal. Five days later, brain magnetic resonance imaging (MRI) showed a right-sided corpus callosum infarct [Figure 1].
|Figure 1: Brain MRI showing an acute infarct in the right-sided genu and body of the corpus callosum. (a) FLAIR-axial image showing the hyperintense signal area within the right-sided corpus callosum. (b) T2-weighted coronal image reveals the same alteration. (c) Image shows abnormal diffusion restriction in the studied area|
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She was able to stand up without any support 29 days after admission.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that name and initial will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| » References|| |
Zhang J, Xing S, Li J, Chen L, Chen H, Dang C, et al
. Isolated astasia manifested by acute infarct of the anterior corpus callosum and cingulate gyrus. J Clin Neurosci 2015;22:763-4.