Kumar Rajesh, Brohi Hazim, Mughul Afshan
Department of Neurology, Liaquat National Hospital, Karachi.
Department of Medicine, Liaquat National Hospital, Karachi.
J Coll Physicians Surg Pak. 2017 Sep;27(9):S104-S105.
Lesions of the thalamus and those extending into midbrain can cause various types of movement disorders such as dystonia, asterixis and ballism-chorea. Seizures are rare manifestation of thalamic disorder. Occurrence of seizures in bilateral thalamic infarct has been reported; but seizures in unilateral thalamic infarct have been reported very rarely. Literature review showed only single case of perinatal unilateral thalamic infarct presenting with seizures. We are reporting a unique case of convulsive seizure at the onset of unilateral thalamic infarct in an adult male, which has never been reported to the best of our knowledge.
丘脑病变以及延伸至中脑的病变可导致各种类型的运动障碍，如肌张力障碍、扑翼样震颤和颤搐 - 舞蹈症。癫痫发作是丘脑疾病的罕见表现。双侧丘脑梗死中癫痫发作的情况已有报道；但单侧丘脑梗死中癫痫发作的报道非常少见。文献综述显示，仅有1例围产期单侧丘脑梗死伴有癫痫发作的病例。我们报告1例成年男性单侧丘脑梗死起病时出现惊厥性癫痫发作的独特病例，据我们所知，此前从未有过相关报道。
