The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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2 Cases of Lower Limb Monoplegia due to Brain Cortical Infarction

대뇌 피질 경색으로 인한 하지 단마비 환자 한방치험 2례

  • Shin, Jung-Ae (Department of Internal Medicine, College of Oriental Medicine, Woosuk University) ;
  • Son, Dong-Hyuk (Department of Internal Medicine, College of Oriental Medicine, Woosuk University) ;
  • Yu, Kyung-Suk (Department of Internal Medicine, College of Oriental Medicine, Woosuk University) ;
  • Lee, Jin-Goo (Department of Internal Medicine, College of Oriental Medicine, Woosuk University) ;
  • Lee, Young-Goo (Department of Internal Medicine, College of Oriental Medicine, Woosuk University)
  • 신정애 (우석대학교 한의과대학 내과학교실) ;
  • 손동혁 (우석대학교 한의과대학 내과학교실) ;
  • 유경숙 (우석대학교 한의과대학 내과학교실) ;
  • 이진구 (우석대학교 한의과대학 내과학교실) ;
  • 이영구 (우석대학교 한의과대학 내과학교실)
  • Published : 2001.06.30
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Abstract

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.

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