Ataxic Hemiparesis With Intact Sensory Modalities

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Abstract
To the Editor. —In a recent issue Mori et al1 described three patients with ataxic hemiparesis due to an internal capsule hemorrhage. All of their patients had associated contralateral sensory abnormalities. We wish to describe a patient with ataxic hemiparesis with intact sensory modalities caused by a capsular hemorrhage. Report of a Case. —An 80-year-old hypertensive man developed an acute inability to stand. Physical examination revealed a blood pressure of 180/92 mm Hg. The patient was alert. A mild left-central facial weakness was evident. Left-arm and left-leg strengths were 4/5 and 5/5, respectively. Finger-to-nose, heel-toshin, and rapid alternating movements were impaired on the left side. The patient fell to the left on standing and had truncal instability while sitting. Results of a detailed sensory examination were normal. Reflexes were symmetric with flexor plantar responses. A computed tomography scan revealed a hemorrhage involving the right posterior limb of