Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Bilateral paramedian thalamic infarction is a rare subtype of stroke caused by occlusion of the artery of Percheron, an uncommon variant originating from one of the posterior cerebral arteries. This type of stroke has several major clinical presentations: altered mental status, behavioral amnestic impairment, aphasia or dysarthria, ocular movement disorders, motor deficits, cerebellar signs, and others. Few cases of bilateral paramedian thalamic infarction-related pseudobulbar palsy characterized by dysarthria, dysphagia, and facial and tongue weakness have been reported. We report here a rare case of acute severe pseudobulbar palsy as a manifestation of bilateral paramedian thalamic infarction.
Abstract
Bilateral paramedian thalamic infarction is a rare subtype of stroke caused by occlusion of the artery of Percheron, an uncommon variant originating from one of the posterior cerebral arteries. This type of stroke has several major clinical presentations: altered mental status, behavioral amnestic impairment, aphasia or dysarthria, ocular movement disorders, motor deficits, cerebellar signs, and others. Few cases of bilateral paramedian thalamic infarction-related pseudobulbar palsy characterized by dysarthria, dysphagia, and facial and tongue weakness have been reported. We report here a rare case of acute severe pseudobulbar palsy as a manifestation of bilateral paramedian thalamic infarction.
참고문헌 (8)
- Song YM, "Topographic patterns of thalamic infarcts in association with stroke syndromes and aetiologies", J Neurol Neurosurg Psychiatry, 82, pp.1083~1086 (2011)
- Schmahmann JD, "Vascular syndromes of the thalamus", Stroke, 34, pp.2264~2278 (2003)
- Karacostas D, "Bilateral thalamic infarcts presenting as acute pseudobulbar palsy", Funct Neurol, 9, pp.265~268 (1994)
- Matheus MG, "Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts", AJNR Am J Neuroradiol, 24, pp.2005~2008 (2003)
- Carpenter MB, "Human neuroanatomy", pp.453~454 (1976), Williams & Wilkins
- Feeney DM, "Diaschisis", Stroke, 17, pp.817~830 (1986)
- Teoh HL, "Bilateral thalamic infarctions due to occlusion of artery of Percheron", J Neurol Sci, 293, pp.110~111 (2010)
- Gentilini M, "Bilateral paramedian thalamic artery infarcts: report of eight cases", J Neurol Neurosurg Psychiatry, 50, pp.900~909 (1987)