丘脑枕核单侧梗死后严重嗜睡- 1 例报告。
Severe hypersomnia after unilateral infarction in the pulvinar nucleus- a case report.
机构信息
Department of Neurology, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark.
Department of Neurophysiology, Odense University Hospital, Odense, Denmark.
出版信息
BMC Neurol. 2020 Dec 7;20(1):442. doi: 10.1186/s12883-020-02018-2.
BACKGROUND
Although a central role of the thalamus for sleep regulation is undisputed, the exact localization of the crucial structures within the thalamus remains controversial.
CASE PRESENTATION
Here we report a 35 year old woman with no prior comorbidities who developed severe and persistent hypersomnia with long sleep time after a small right-sided MRI-verified thalamic stroke affecting the dorsal part of the pulvinar and the dorsolateral boarders of the dorsomedial nuclei.
CONCLUSION
The observed symptoms suggest a crucial role of posterior thalamus but not the midline parts of the thalamus in sleep-wake control.
背景
尽管丘脑在睡眠调节中的核心作用是毋庸置疑的，但丘脑内关键结构的确切位置仍存在争议。
病例介绍
本文报告了一例 35 岁女性，无既往合并症，在 MRI 证实右侧丘脑小卒中后出现严重且持续的嗜睡，总睡眠时间延长，病灶累及后丘脑被盖部和背内侧核的背外侧边界。
结论
观察到的症状表明，后丘脑而非丘脑中线部位在后睡眠-觉醒控制中起关键作用。
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