Krolak-Salmon P, Croisile B, Houzard C, Setiey A, Girard-Madoux P, Vighetto A
Department of Neurology, P. Wertheimer Neurological Hospital, Lyon, France.
Eur Neurol. 2000;44(4):216-8. doi: 10.1159/000008239.
Bilateral paramedian thalamic infarcts are characterised initially by the association of acute vigilance disorders and vertical gaze palsy, followed by persisting dementia with severe mnemic disturbance, global aspontaneity and apathy. We describe a patient with a dramatic neuropsychological recovery, confirmed by testing examination and completed by a cerebral metabolism study. The pathophysiology of this type of cognitive deficit is discussed.
双侧丘脑旁正中梗死最初表现为急性警觉障碍和垂直性凝视麻痹，随后发展为持续性痴呆，伴有严重的记忆障碍、全面性自发行为缺失和淡漠。我们描述了一名患者，其神经心理学有显著恢复，经测试检查证实，并通过脑代谢研究进一步验证。本文还讨论了这种类型认知缺陷的病理生理学。
