Maeshima S, Naka D, Nakai K, Jianping L, Itakura T, Komai N, Maeshima E, Fujimoto A
Department of Neurological Surgery, Wakayama Medical College.
No Shinkei Geka. 1996 Jan;24(1):53-6.
We reported a case of amnestic syndrome caused by a hematoma in the left thalamus. The case was that of a 68-year-old, right-handed man who suddenly showed amnestic syndrome. He had neither motor paresis nor sensory disturbance. Clinical examination showed he had disorientation, anterograde amnesia and mild retrograde amnesia. Immediate recall and remote memory were intact, but recent memory was severely impaired. CT scan revealed a high density area in the anterior medial part of the left thalamus. We concluded that amnesia in this patient was caused by fasciculus mamillothalamicus damage because of a hematoma during thalamic hemorrhage.
我们报告了一例由左侧丘脑血肿引起的遗忘综合征病例。该病例为一名68岁右利手男性,突然出现遗忘综合征。他既没有运动麻痹也没有感觉障碍。临床检查显示他存在定向障碍、顺行性遗忘和轻度逆行性遗忘。即刻回忆和远期记忆完好,但近期记忆严重受损。CT扫描显示左侧丘脑前内侧部分有一个高密度区。我们得出结论,该患者的遗忘是由于丘脑出血时血肿导致乳头体丘脑束受损所致。