The brain organization for movement in a 20-year-old man with a histor
y of intrauterine or perinatal right middle cerebral artery stroke was
studied. [O-15]-water positron emission tomography demonstrated a nor
mal pattern of activation during finger movement in the right hand. Mo
vement of the hemiparetic left hand was associated with activation in
the supplementary motor area bilaterally and in the left premotor cort
ex. Blood flow increase was observed in the right temporal lobe adjace
nt to an extensive area of encephalomalacia, suggesting atypical motor
function in the temporal lobe, (C) 1998 by Elsevier Science Inc. All
rights reserved.