Can you wiggle your toes?

 What my emergency doctor asked me to do before and after the tPA administration. I couldn't do it. He then proceeded to tell me that tPA didn't provide the immediate miracle resolution and I would have to rely on the slow rehab route. This was in 2006, 10 years after tPA was approved and the ER doctor already had a ready made answer for the failure of tPA to get me fully recovered. 

He obviously didn't pass that information onto my PMR doctor who never did any analysis as to why I couldn't move my toes. 3 years later doing nothing to recover toe movement I could move my toes. Obviously the white mater that wasn't working rerouted the signals to get my toes working again(Dendritic branching and axon pathfinding, which my doctor knew absolutely nothing about)

Here is the motor homunculus and you can see comparing this to my MRI scans that my toe motor cortex was not affected.

There are nine reasons why and the most logical one is disruption in the white matter around the toe movement motor cortex.

1. Penumbra damage to the motor cortex.
2. Dead brain in the motor cortex.
3. Penumbra damage in the pre-motor cortex.
4. Dead brain in the pre-motor cortex.
5. Penumbra damage in the executive control area.
6. Dead brain in the executive control area.
7. Penumbra damage in the white matter underlying any of these three.(This one)
8. Dead brain in the white matter underlying any of these three.
9. Spasticity preventing movement from occurring.

 

If my doctor had done any sort of analysis at all he would have noticed that my dead area was nowhere close to the toe control area as evidenced by the motor homunculus