The Stanford 25

An Initiative to Revive the Culture of Bedside Medicine

Internal Capsule Stroke (forthcoming)

(Still under construction)


  • Be able to trace the motor tract or pyramidal tract
  • Demonstrate the typical findings of an internal capsular lesion and EXPLAIN why these findings occur, including:
    • why is  just cranial nerve VII lower half affected?
    • Why is weakness more distal than proximal?
    • What changes in tone occur on the affected site?
      • How do you test tone?
      • What are common abnormalities of tone and their distribution?
    • What deep tendon  reflex changes do you expect?
    • What pyramidal or UMN reflexes emerge? (such as the Babinski response, but name others)
    • What is the hemiplegic gait?
    • What features might suggest that this is NOT a capsular stroke but might be
      • in the brain stem (crossed hemiplegia)?

Written by stanford25admin

June 7, 2010 at 3:36 pm

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