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Departments of Pathology and Neurology, University of Virginia School of Medicine, Charlottesville, Virginia.
A patient with a small infarct located posteriorly in the internal capsule had 9 years of weakness of the contralateral face, arm, and leg. At necropsy, it was found that degeneration of the corticospinal tract was almost complete in the midbrain and medullary pyramid. This case supports the increasing evidence that the human pyramidal tract is located in the third quarter of the posterior limb of the internal capsule.
Presented in part at the twenty-seventh annual meeting of the American Academy of Neurology, Bal Harbour, Florida, May 2, 1975.
This study was supported in part by USPHS Training Grant NS 0512019 in Neurology and NS 0575902 in Neuropathology.
Reprint requests should be addressed to Dr. Englander, Department of Neurology, University of Virginia School of Medicine, Charlottesville, VA 22901. Dr. Netsky's present address is Department of Pathology, Vanderbilt University School of Medicine, Nashville, TN 37232. Dr. Adelman's present address is Tufts-New England Medical Center, 171 Harrison Ave, Boston, MA 02111.
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