Body Lateropulsion With Involvement of the Medial Lemniscus Due to a Middle Pontine Tegmentum Infarction
Bibliographic record
Abstract
A 53-year-old man with essential hypertension abruptly developed rightward body lateropulsion (BL), and mild dysesthesia in the right upper extremity. No other neurologic abnormalities were observed. Cranial magnetic resonance imaging demonstrated a small infarct lesion in the middle pontine tegmentum on the left side. Under anti-platelet agent, the patient became asymptomatic within 7 days. BL is defined as irresistible falling to one side without motor weakness. Damage to the ascending graviceptive pathway (GP) may cause BL. GP from the vestibular nuclei to the Cajal interstitial nucleus crosses the midline in the caudal pons. Based on previous reports, the location of GP was speculated in the rostral pons. However, its precise location remains unreported in the middle pons. This is a second reported case of BL due to a middle pontine tegmentum infarction. In addition, findings of neurologic and magnetic resonance imaging in our patient suggest that GP may run in the dorsal region to the medial lemniscus in the middle pons. J Med Cases. 2014;5(1):43-44 doi: http://dx.doi.org/10.4021/ jmc1612w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".