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To the Editor:
Takaya et al.1 report on a patient with paraparesis with bilateral capsular hemorrhages. In order to fit the space allowed to the text for NeuroImages, the clinical details are scant. Although the lesions shown in the CT scan could impinge upon the internal capsule, they are centered in the lateral thalamic region and the suprathalamic white matter on both sides. Lesions in this location have caused a motor syndrome consisting of inability to walk without sensory loss, due to impairment of postural reflexes and a misperception of the vertical axis (thalamic astasia).2,3⇓ Unilateral lesions do occur, but simultaneous bilateral lesions are rare. I would …
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