We present the case of a young man who experienced a sudden onset of p
ure motor hemiplegia in association with ulcerative colitis. Based on
a review of earlier reports, ulcerative colitis was suspected to be th
e background disease leading to cerebral infarction. A cerebral infarc
tion of the lacunar type in the right ventromedial aspect of the upper
pons was seen on magnetic resonance images. These images detected sma
ll lesions in the brain stem, and were used to follow-up their transit
ions.