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Cortical Reorganization for Response Regulation With Unilateral Thalamic Stroke Detected by Functional MRI
Kenneth S. L. Yuen, MPhil
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong
Tatia M. C. Lee, PhD
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong, tmclee{at}hkusua.hku.hk
Yau-Yau Wai, MD
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong
Ho-Ling Liu, PhD
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong
Edith N. H. Mok, PhD
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong
Leonard S. W. Li, MBBS
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong
Chetwyn C. H. Chan, PhD
K610, Laboratory of Neuropsychology, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong
To understand neural reorganization of response regulation after stroke, a 54-year-old woman with a chronic left thalamic stroke performed a task requiring decisions about the directionality of an arrow during cerebral functional magnetic resonance imaging. Her performance was compared to 13 matched healthy control subjects. Her behavioral responses were slower but as accurate. Bilateral frontal activations were observed in the right medial frontal gyrus (BA 9), left superior frontal gyrus (BA 45), and left frontal rectus gyrus (BA 11). Activation in the right medial frontal gyrus, along with activity in close proximity to the anterior cingulate cortex, was observed, which may reflect reorganization of activity after the loss of function of the anterior cingulate cortex.
Key Words: Neuroplasticity Cortical recovery Response regulation Inhibition fMRI Neural reorganization.
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This version was published on October
1, 2007
Neurorehabilitation and Neural Repair, Vol. 21, No. 5,
467-471 (2007)
DOI: 10.1177/1545968306298415

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