Noda S, Mizoguchi M, Yamamoto A
Kyushukouseinenkin Hospital, Department of Neurology, Kitakyushu, Japan.
J Neurol Neurosurg Psychiatry. 1993 Nov;56(11):1224-6. doi: 10.1136/jnnp.56.11.1224.
Two patients with an infarct limited to the thalamus developed auditory and visual experiential hallucinations. Neuropathological studies in one patient showed a small cavity in the right intralaminar nuclei surrounded by focal spongiform change, partly involving the right dorsomedial nucleus. Neuroradiological data in another patient indicated that the same nuclei in the left thalamus were also affected. It was concluded that a unilateral thalamic lesion could cause experiential hallucinations and the intralaminar and dorsomedial nuclei might be important structures to explain the phenomenon.
两名丘脑梗死局限的患者出现了听觉和视觉体验性幻觉。对其中一名患者的神经病理学研究显示,右侧板内核有一个小空洞,周围有局灶性海绵状改变,部分累及右侧背内侧核。另一名患者的神经放射学数据表明,左侧丘脑的相同核团也受到了影响。得出的结论是,单侧丘脑病变可导致体验性幻觉,板内核和背内侧核可能是解释这一现象的重要结构。