• Sung Ho Jang and Han Do Lee.
• Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Republic of Korea.
• Medicine (Baltimore). 2018 Jun 1; 97 (22): e10963.

RationaleA 67-year-old, right-handed male patient underwent craniotomy and drainage for hematoma removal related to an intracerebral hemorrhage (ICH) in the right thalamus and basal ganglia at the neurosurgery department of a university hospital.Patient ConcernsHe presented with severe motor weakness of left extremities, impairment of proprioception, and severe pusher syndrome at the start of rehabilitation.DiagnosesHe was diagnosed as ICH in the right thalamus and basal ganglia.InterventionsThe patient received comprehensive rehabilitative therapy, movement therapy, and somatosensory stimulation.OutcomesFour months after onset, left leg motor function (Motricity Index [MI] = 51) did not show significant recovery from that at two months after onset (MI = 41); however, in the same period, Nottingham Sensory Assessment and scale for contraversive pushing significantly improved. At four months, the patient was able to stand independently but required manual contact of one person during independent walking on an even floor. At seven months after onset, he was able to walk independently on an even floor.LessonsRecovery of a severely injured medial lemniscus with concurrent recovery of impaired proprioception and pusher syndrome.

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