Ebert A D, Vinz B, Görtler M, Wallesch C W, Herrmann M
Otto-von-Guericke-University, Division of Neuropsychology and Behavioral Neurology, Magdeburg, Germany.
J Clin Exp Neuropsychol. 1999 Jun;21(3):397-411. doi: 10.1076/jcen.21.3.397.915.
Short-term post-acute neuropsychological, neurological, and neuroradiological test results and a 16-month follow-up of a 65-year-old patient with a right hemisphere ischemic lesion in the tuberothalamic area of vascular supply are reported. During a 6-week period of examinations the originally left- but trained right-handed patient exhibited fluctuating neuropsychological disorders including aphasia, visuo-perceptive and visuoconstructive disorders, and memory and attention deficits. In the follow-up examination the patient exhibited no aphasia and significant improvements in most neuropsychological tasks. Based on three-dimensional reconstruction of MRI, lesion topography and involvement of thalamic nuclei were established. We discuss the neuropsychological and neurological symptoms of the present case against the background of the 'syndrome of unilateral tuberothalamic artery territory infarction' proposed by Bogousslavsky and coworkers (1986) and the neuropsychological literature on unilateral ischemic anterior/anterolateral thalamic infarction.
报告了一名65岁患者的急性后期短期神经心理学、神经学和神经放射学检查结果，该患者血管供应的丘脑结节区右侧半球有缺血性病变，并进行了16个月的随访。在为期6周的检查期间，这位原本左利手但经过训练使用右手的患者出现了波动的神经心理障碍，包括失语症、视觉感知和视觉构建障碍以及记忆和注意力缺陷。在随访检查中，患者没有失语症，并且在大多数神经心理学任务上有显著改善。基于MRI的三维重建，确定了病变的地形和丘脑核的受累情况。我们在Bogousslavsky及其同事（1986年）提出的“单侧丘脑结节动脉区域梗死综合征”以及关于单侧缺血性前/前外侧丘脑梗死的神经心理学文献的背景下，讨论了本病例的神经心理学和神经学症状。
