Cortical plasticity of the human brain permits functional recovery aft
er brain injury even in the absence of neuronal recovery. We report th
e combined evaluation, including electrophysiology and functional magn
etic resonance imaging, of the pattern of cortical and cerebellar reor
ganization, in a patient with mirror movements as a sequel of perinata
l unilateral brain injury. Recovery resulted in motor control by the h
ealthy hemisphere using direct ipsilateral corticospinal projections a
nd the contralateral cerebellum.