丘脑前内侧梗死：一种罕见的表现。
Anteromedial thalamic infarct: a rare presentation.
作者信息
Shabbir Syed H, Nadeem Faryal, Labovitz Daniel
机构信息
Department of Neurology, Montefiore Hospital and Medical Center, Bronx, New York, USA.
Department of Medicine, Capital Health Regional Medical Center, Trenton, New Jersey, USA.
出版信息
BMJ Case Rep. 2018 May 2;2018:bcr-2017-223404. doi: 10.1136/bcr-2017-223404.
We report a rare presentation of an anteromedial thalamic infarct in a 50-year-old woman with acute onset left eye ptosis, vertical gaze paresis and confusion. MRI identified an acute left anteromedial thalamic infarct with a severe left P1 stenosis. Thalamic infarcts are associated with marked neurobehavioural disturbances with dominant thalamic lesions causing language deficits, verbal perseveration, memory disturbances, abulia and disorientation. Ocular movement deficits can also be present and typically accompany paramedian lesions. Rarely, patients can develop an ipsilateral ptosis. We discuss these symptoms and review the literature.
我们报告了一例罕见的丘脑前内侧梗死病例，患者为一名50岁女性，急性起病，表现为左眼上睑下垂、垂直凝视麻痹和意识模糊。磁共振成像（MRI）显示左侧丘脑前内侧急性梗死，伴有严重的左侧P1段狭窄。丘脑梗死与明显的神经行为障碍有关，优势侧丘脑病变可导致语言缺陷、言语持续症、记忆障碍、意志缺失和定向障碍。也可出现眼球运动缺陷，通常伴随旁正中病变。罕见的情况下，患者可出现同侧上睑下垂。我们讨论了这些症状并回顾了相关文献。
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