•A 77-year-old right-handed man experienced an infarct in the right midbrain.•Ipsilesional progressive micrographia occurred after the midbrain infarct.•Micrographia improved when the patient wrote as if practicing Japanese calligraphy.•Further studies should confirm the utility of Japanese calligraphy in such cases.
Keywords: Japanese calligraphy; Micrographia; Midbrain; Tegmentum.
© 2024 The Authors. Published by Elsevier Ltd.