Atypical Presentation with Good Outcome in a Bilateral Paramedian Thalamic Infarction
Journal Title: Journal of Neurological Sciences-Turkish - Year 2006, Vol 23, Issue 1
Abstract
Background: Bilateral paramedian thalamic infarction is rare. We describe a patient without the previously reported cardinal features of vertical gaze paresis, decreased vigilance, mood changes, and memory problems that accompany bilateral paramedian thalamic infarction. Case Study: A 41 year-old male with no previous medical problems presented with two short episodes of unconsciousness and transient ptosis. The patient returned to normal within several hours of presentation. The patient had no mood or personality changes after the event and bedside testing showed no evidence of cognitive changes or memory difficulties. A MRI scan of his brain showed an acute bilateral thalamic infarct. Conclusions: This is only the second known described case with complete resolution of symptoms following bilateral paramedian thalamic infarction. This case also demonstrates that physicians should consider a bilateral thalamic infarct in the differential diagnosis when a patient presents with only transient unconsciousness and transient third nerve dysfunction.
Authors and Affiliations
Amir KHOINY, Mark GOLDBERG, Noushin KHOINY
Keywords
Related Articles
- EP ID EP139255
- DOI -
- Views 79
- Downloads 0
Primary hypothyroidism associated with myopathy
Deficiency of thyroid hormone leads to hypothyroidism and low free thyroxine and tri-iodothyronine (Free T4, T3) levels and increased thyroid stimulating hormone (TSH) are seen in primary hypothyroidism. Clinical feature...
Natural History and Early Prognostic Clinical Factors In Multiple Sclerosis
Objective: Multiple sclerosis(MS) can follow different patterns of clinical courses and variable rates of disability accumulation. A major challenge in MS research is to predict the long-term evaluation of patients on th...
III. Ventrikül meningiomu
Meningiomlar santral sinir sistemi tümörlerinin önemli bir bölümünü oluşturmalarına karşın, bu tümörlerin üçüncü ventrikül içinde yerleşim göstermeleri oldukça nadirdir. Biz bu yazıda anterior transkallozal yaklaşımla op...
Lomber Disk Hernisi Bulguları İle Görülen Erişkin Gergin Omurilik Sendromu: İki Olgu Sunumu
Gergin omurilik sendromu; genellikle çocukluk çağında görülen konjenital bir hastalık olması yanında erişkin dönemde de karşımıza çıkabilmektedir Çalışmamızda lomber disk semptomatolojisini taklit eden ancak gergin omuri...
Theory of Neuroscience
Neuroscience is the study of nervous system concerning biological basis of consciousness, perception, memory, and learning. Neuroscience links our observations about cognitive behavior with the actual physical processes...