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To the Editor: Hosokawa et al.1 recently reported a rare case of ipsilateral hemiparesis probably due to uncrossed pyramidal tracts with detailed neurophysiologic exams. We also examined a patient with ataxic hemiparesis and ipsilateral supratentorial hemorrhage.
A 63-year-old hypertensive right-handed man presented with a severe headache in the bilateral frontal regions followed by paresthesias and a clumsiness in the left upper extremity when sitting on the toilet. Two days before, he had an episode of diplopia, dysarthria, and nausea, which disappeared after several hours. He had arteriosclerosis obliterans in the lower legs and several attacks of angina pectoris, which were medically treated. His general status at …
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