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KMID : 1202320230160020020
Brain & NeuroRehabilitation
2023 Volume.16 No. 2 p.20 ~ p.20
Ipsilateral Motor Evoked Potentials in a Preschool-age Child With Traumatic Brain Injury: A Case Report
Kim Seong-Yeol

Roh Choong-Hee
Kim Da-Sol
Kim Gi-Wook
Won Yu-Hui
Ko Myoung-Hwan
Seo Jeong-Hwan
Park Sung-Hee
Abstract
To the best of our knowledge, the upper age limit at which post-neonatal cerebral palsy (CP) can manifest remains uncertain. This uncertainty is attributed to the lack of objective parameters for assessing the developing brain. In a previous study, we reported that an ipsilateral corticospinal projection associated with brain injury, as manifested in the paretic hand of a CP patient, had never been observed in individuals aged > 2 years. In this case report, we present an instance of ipsilateral motor evoked potential (iMEP) in a girl whose traumatic brain injury occurred at the age of 4 years. This case is the oldest in which brain injury occurred and iMEP was maintained. In conclusion, iMEP can be a valuable indicator of motor system plasticity in the developing brain.
KEYWORD
Motor Evoked Potentials, Traumatic Brain Injury, Transcranial Magnetic Stimulation, Brain Plasticity, Case Report
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