“…A diencephalic lesion may affect contralateral limbs through bulbo spinal fibers [4,5,10,13,15,16] or by projections from VL thalamus, through the overlying cortex, to the contralateral spinal cord [19,27], The lesion may have an ipsilateral effect mediated through uncrossed de scending projections (corticospinal [24,34] or bulbospinal [5,13,15,16] fibers): alternatively the lesion may affect motor mechanisms on ¡he other side of the brain [5,6,14,20,29,36] which in turn exert a (crossed) in fluence on segmental neurons ipsilateral to the lesion. In particular, the lesion could exert bilateral effects through connections within the brain stem that link the two sides of the reticular formation and through others linking the basal ganglia and thalamus on one side of the brain with sub cortical structures on the other [5,12,18,23,28,30,32], Patients improved in using the arm ipsilateral to surgery, although there was no obvious improvement in its tremor or rigidity.…”