scholarly journals Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report

2016 ◽  
Vol 40 (4) ◽  
pp. 751 ◽  
Author(s):  
Hye Yeon Lee ◽  
Min Jeong Kim ◽  
Bo-Ram Kim ◽  
Seong-Eun Koh ◽  
In-Sik Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Pseudobulbar Palsy ◽  
Thalamic Infarction

scholarly journals Percheron Artery Ischemia: Case Report

2021 ◽  
Author(s):  
Lília Tereza Diniz Nunes ◽  
Flávia S. Silva ◽  
Karyme G. Aota ◽  
Maria Beatriz Miranda. S. B. de Assis ◽  
João Fellipe B. Bento ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebral Artery ◽  
Cervical Dystonia ◽  
Clinical Presentation ◽  
Posterior Cerebral Artery ◽  
Artery Of Percheron ◽  
Thalamic Infarction ◽  
Level Of Consciousness ◽  
Artery Segment ◽  
Thalamic Infarct

Context: The Artery of Percheron (AOP) is an uncommon anatomic vascular variation derivated from posterior cerebral artery segment P1, wich branchs to irrigate bilaterally the thalamus in it is paramedian portion. Amidst vascular cerebral events of the ischemic type, thalamic infarction occour in 11% of the cases. The typical clinical presentation is constituted by the triad: cogniyivebehavior comitente, oculomotors and consience disturbs. Case report: J.F.M.L, 51 years old, male, was found unconscious in his residence by SAMU and then interned in Stroke Room of HGP in 02/06/2020 with a lowered level of consciousness (Glasgow 8). The tests demonstrated a bilateral thalamic infarct due to Artery of Percheron Ischemia. In 02/09/2020 it evolved into a Glasgow 9 being extubated. The CT after 3 days demonstrated absence of bleeding and prophylatically initiated simvastatin, clexane, physiotherapy and phonoaudiology. In 02/15/2020, during physical exam, the pacient was lucid, presented behavior alterations, had left cervical dystonia and ataxia. The patient progressed well and was discharged the next day. Conclusions: The AOP, when occluded, results in bilateral paramedian thalamic and the rostral midbrain infarctions wich may cause diagnosis issues, mainly because of the vast specter of diferential diagnosis. In the presence of triad signals characteritic of bilateral thalamic infarction in CT, it must suspect the manifestation of such entity.

scholarly journals Paramedian thalamic infarction with transient pseudoabducens palsy: a case report

Nosotchu ◽  
2013 ◽  
Vol 35 (3) ◽  
pp. 232-234
Author(s):  
Makoto Nomura ◽  
Hirotsugu Mikami ◽  
Takeshi Watanabe ◽  
Megumi Suzuki ◽  
Seiitsu Ono
Keyword(s):  
Case Report ◽  
Thalamic Infarction

scholarly journals A case report: Numb Chin Syndrome due to thalamic infarction: a rare case

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Florian Rimmele ◽  
Henning Maschke ◽  
Annette Großmann ◽  
Tim P. Jürgens
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Sensory Neuropathy ◽  
Acute Ischemia ◽  
Lower Lip ◽  
Numb Chin Syndrome ◽  
Thalamic Infarction ◽  
Cranial Mri ◽  
The Right ◽  
Underlying Diseases

Abstract Background Numb Chin Syndrome (NCS), which is also characterized as sensory neuropathy of the mental nerve, describes a mostly unilateral numbness of the chin and lower lip. Benign and malignant diseases are known to cause this circumscribed symptom, which can easily be overlooked or misdiagnosed. In this article we present the very rare case of a clinical NCS caused by thalamic lacunar infarction. As a pure sensory stroke it is a rare variant of the Cheiro-Oral Syndrome (COS). Case presentation A 63-year-old male patient received an emergency referral to our department after the patient had noticed a feeling of numbness of the left lower lip and chin on the previous day. The neurological examination revealed an approximately 2 × 3 cm area of hypoesthesia in the area of the chin and left lower lip and the cranial MRI an acute ischemia in the right thalamus. Conclusions In this case report we introduce a patient who clinically shows an NCS. Various diseases may be responsible for NCS, including malignancies or even central neurological disorders such as multiple sclerosis. A lacunar thalamic ischemia as a cause of NCS is very rare and to our knowledge described in the literature only in the contex of a COS in three cases. We wish to remind the reader, through this case, of the purely descriptive and syndromal character of the NCS and the importance for detecting underlying diseases. Furthermore we give a brief overview of the NCS and causative disorders.

Pseudobulbar Palsy, Personality Change, and Ataxia in a 34-year-old Man: A Case Report

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S273-S273
Author(s):  
Stephanie Y. Kim ◽  
Merrie Viscarra
Keyword(s):  
Case Report ◽  
Personality Change ◽  
Pseudobulbar Palsy

Neurobrucellosis with thalamic infarction: a case report

2008 ◽  
Vol 29 (6) ◽  
pp. 481-483 ◽  
Author(s):  
Thomas Jochum ◽  
Uta Kliesch ◽  
Reinhard Both ◽  
Jochen Leonhardi ◽  
Karl-Jürgen Bär
Keyword(s):  
Case Report ◽  
Thalamic Infarction

scholarly journals Unilateral thalamic infarction presenting as vertical gaze palsy: a case report

2011 ◽  
Vol 5 (1) ◽  
Author(s):  
Muhib Khan ◽  
Christos Sidiropoulos ◽  
Panayiotis Mitsias
Keyword(s):  
Case Report ◽  
Thalamic Infarction ◽  
Vertical Gaze ◽  
Gaze Palsy

scholarly journals Lowering of the level of consciousness by bilateral paramedian thalamic infarction due to Percheron’s ischemia (Percheron’s syndrome): a case report

2021 ◽  
Author(s):  
Mariana Sandy Mada
Keyword(s):  
Case Report ◽  
Latin American ◽  
Clinical Presentation ◽  
Altered Mental Status ◽  
Caribbean Literature ◽  
Laboratory Evaluation ◽  
Anatomical Variant ◽  
Loss Of Self ◽  
Thalamic Infarction ◽  
Level Of Consciousness

Context: Ischemia of Percheron’s artery(PA) is a rare neurological occurrence that results in bilateral paramedian thalamic infarction that may affect the midbrain. Among the symptoms are altered mental status, vertical ocular palsy, and memory changes, as well as hemiplegia, cerebellar ataxia, and movement disorders. Objective: To elucidate a case of stroke of the mesencephalic trunk in an uncommon anatomical variant of the thalamus-perfurans arteries Method:Daily neurological and laboratory evaluation in addition to complementary examinations such as skull CT and skull MRI. We also performed a qualitative analysis of articles in Portuguese and English journals indexed in the following databases: PubMed (Public Medical Literature Analysis), Lilacs (Latin American and Caribbean Literature on Health Sciences) and Scielo (Scientific Eletronic Library Online). Case report: A 67 year old male presented with mild to moderate headache for 2 days, reporting chronic cough and decreased level of consciousness for 1 day. He was intubated (Glasgow 6) and sedated for diagnostic elucidation. The CT shows mild cerebral edema and MRI shows bilateral thalamic infarction affecting the PA. The clinical picture evolves to ischemic stroke of the mesencephalic trunk. Discussion: The bilateral infarction of the Percheron artery, as presented in this case, the neurological and neuropsychological manifestations are more severe such as akinetic mutism, thalamic dementia and loss of self psychic activation(Robot Syndrome). In these cases, the neuropsychological disturbance is best noticed when the patient regains consciousness. Conclusion: In the presence of a clinical presentation suggestive of bilateral thalamic infarction, the Percheron Syndrome hypothesis should be suspected.

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