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KERD
논문KCI 등재

편측 시상 뇌경색에서 양측 입 주위 감각 이상을 보인 비전형 손끝입가증후군

Atypical Cheiro-oral Syndrome Presented With Bilateral Perioral Sensory Symptoms in Unilateral Thalamic Infarction

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초록

Cheiro-oral syndrome is a unilateral sensory impairment that is restricted to the homolateral hand and perioral area. An unusual clinical presentation with bilateral perioral involvement has also been described. Most of the responsible lesions involved the paramedian pontine tegmentum; thalamic involvement is extremely rare. We report herein a patient who presented with purely sensory symptoms involving the bilateral perioral regions and the distal thumb and index finger of the left hand following a small infarction in the right lateral thalamus.

Abstract

Cheiro-oral syndrome is a unilateral sensory impairment that is restricted to the homolateral hand and perioral area. An unusual clinical presentation with bilateral perioral involvement has also been described. Most of the responsible lesions involved the paramedian pontine tegmentum; thalamic involvement is extremely rare. We report herein a patient who presented with purely sensory symptoms involving the bilateral perioral regions and the distal thumb and index finger of the left hand following a small infarction in the right lateral thalamus.

참고문헌 (6)

  1. Wei Hsi Chen, "Cheiro-Oral Syndrome: A Clinical Analysis and Review of Literature", Yonsei Medical Journal, 50(6), pp.777~783 (2009), 연세대학교의과대학
  2. Kim JS, "Bilateral perioral sensory symptom after unilateral stroke: does it have a localizing value?", J Neurol Sciences, 140, pp.123~128 (1996)
  3. Matsumoto S, "Cheiro-oral syndrome with bilateral oral involvement; a study of pontine lesions by high-resolution magnetic resonance imaging", J Neurol Neurosurg Psychiatry, 52, pp.792~794 (1989)
  4. Bae YH, "Pure sensory stroke due to brainstem lesion", J Korean Neurol Assoc, 15, pp.488~492 (1997)
  5. Jones EG, "Extent of the ipsilateral representation in the ventral posterior medial nucleus of the monkey thalamus", Exp Brain Res, 63, pp.310~320 (1986)
  6. Oh GS, "Anatomy and Physiology of Headache", Korean J Headache, 10, pp.84~95 (2009)

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