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Discussion
The present case suggests that lesions in the ION can
cause contralesional truncal ataxia. Such lesions might
involve the medial lemniscus, leading to sensory ataxia.
However, the patients gait disturbance remained unchanged regardless of whether his eyes were open or closed.
How can we explain the truncal ataxia in ION? An earlier
Journal of Stroke and Cerebrovascular Diseases, Vol. 21, No. 6 (August), 2012: pp 507-508
507
508
Figure 1. (A) T2-weighted brain magnetic resonance imaging showing a small lesion in the right
medial region of the medulla involving the ION.
(B) Axial diagram of the medulla showing the location of the ION and adjacent structures.
References
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