Figure 1
Left to right A. Postoperative day-0 (POD -0) – transverse T2 image with lesion in the right thalamus. B. POD-1 expansion of lesion seen on T2 sequence. C. POD-1, Fluid-attenuated inversion recovery (FLAIR) sequence demonstrating edema encroaching posterior limb of internal capsule.
Video
Neurological exam pre and post procedure. Pre-operative exam displaying postural (wing beating posture) tremor in bilateral hands and tremor on drawing spirals. No asterixis seen during this exam. 1- month follow-up shows trace asterixis on dorsiflexion of the left hand along with dysmetria on finger to nose exam. By 6 month follow-up no asterixis was seen on exam and improvement in dysmetria which was previously noted.