{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T06:49:16Z","timestamp":1753685356438,"version":"3.37.3"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Neurological Medicine"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Background and Purpose<\/jats:italic>. Spasticity is a positive sign of upper motor neuron syndrome that usually develops weeks after a stroke. The mechanisms that lead to its appearance are not completely understood, namely, the cortical regions whose lesion may induce spasticity.<jats:italic>Summary of Cases<\/jats:italic>. We report two patients with an ischaemic stroke entailing the anterior cingulate gyrus (pericallosal artery territory), who presented with acute hemiplegia and spasticity since symptom onset. Spasticity resolved within days after onset.<jats:italic>Conclusions<\/jats:italic>. The acute destruction of the anterior cingulate region, interrupting inhibitory projections towards lower motor centres, probably explains the acute onset of spasticity that occurred in these two patients. Further studies addressing the role of this region in acute and chronic disturbances of muscular tone are necessary.<\/jats:p>","DOI":"10.1155\/2013\/534243","type":"journal-article","created":{"date-parts":[[2013,11,4]],"date-time":"2013-11-04T16:02:08Z","timestamp":1383580928000},"page":"1-3","source":"Crossref","is-referenced-by-count":3,"title":["Spasticity as the First Manifestation of Ischaemic Lesions Involving the Cingulum"],"prefix":"10.1155","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5622-4631","authenticated-orcid":true,"given":"Iv\u00e2nia","family":"Alves","sequence":"first","affiliation":[{"name":"Departamento de Neurologia, Hospital S\u00e3o Sebasti\u00e3o, Centro Hospitalar de Entre Douro e Vouga, Rua Dr. C\u00e2ndido de Pinho, 4520-211 Santa Maria da Feira, Portugal"},{"name":"Sec\u00e7\u00e3o Aut\u00f3noma de Ci\u00eancias da Sa\u00fade, Universidade de Aveiro, Edif\u00edcio 30 Campus Universit\u00e1rio de Santiago, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5333-4771","authenticated-orcid":true,"given":"V\u00edtor","family":"Tedim Cruz","sequence":"additional","affiliation":[{"name":"Departamento de Neurologia, Hospital S\u00e3o Sebasti\u00e3o, Centro Hospitalar de Entre Douro e Vouga, Rua Dr. C\u00e2ndido de Pinho, 4520-211 Santa Maria da Feira, Portugal"},{"name":"Sec\u00e7\u00e3o Aut\u00f3noma de Ci\u00eancias da Sa\u00fade, Universidade de Aveiro, Edif\u00edcio 30 Campus Universit\u00e1rio de Santiago, 3810-193 Aveiro, Portugal"}]},{"given":"Hans Peter","family":"Grebe","sequence":"additional","affiliation":[{"name":"Departamento de Neurologia, Hospital S\u00e3o Sebasti\u00e3o, Centro Hospitalar de Entre Douro e Vouga, Rua Dr. C\u00e2ndido de Pinho, 4520-211 Santa Maria da Feira, Portugal"}]}],"member":"311","reference":[{"issue":"1","key":"1","first-page":"3","volume":"9","year":"2002","journal-title":"European Journal of Neurology"},{"issue":"12","key":"2","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1212\/WNL.30.12.1303","volume":"30","year":"1980","journal-title":"Neurology"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHM.0000141125.28611.3E"},{"issue":"2","key":"4","first-page":"168","volume":"71","year":"1985","journal-title":"Acta Neurologica Scandinavica"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-011-6289-1"},{"issue":"2","key":"6","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1001\/archneur.1990.00530020040012","volume":"47","year":"1990","journal-title":"Archives of Neurology"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-1331.2002.00452.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9568.2003.03034.x"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2007.05.019"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.3328-08.2009"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2011.03.066"}],"container-title":["Case Reports in Neurological Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2013\/534243.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2013\/534243.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crinm\/2013\/534243.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T21:23:24Z","timestamp":1498080204000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crinm\/2013\/534243\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":11,"alternative-id":["534243","534243"],"URL":"https:\/\/doi.org\/10.1155\/2013\/534243","relation":{},"ISSN":["2090-6668","2090-6676"],"issn-type":[{"type":"print","value":"2090-6668"},{"type":"electronic","value":"2090-6676"}],"subject":[],"published":{"date-parts":[[2013]]}}}