Rousseaux M, Cabaret M, Bernati T, Pruvo J P, Steinling M
Service de Rééducation Neurologique, CHU de Lille.
Rev Neurol (Paris). 1998 Jun;154(5):401-7.
A case of unilateral infarct in the territory of the left internal cerebral vein, severely disturbing cognitive processes, and more especially recall in verbal memory, is reported. This 22-year-old patient survived a left thalamic and striato-capsular infarct related to a straight sinus and left internal cerebral vein thrombosis. Motor and functional recovery was fair, despite late dystonia. At the secondary phase post-stroke, cognitive disorders were severe, including increased short-term forgetting and episodic (anterograde and retrograde) and semantic amnesia. One year later, a residual deficit of verbal recall was observed, which participated in the anterograde and retrograde amnesia. Recognition was well preserved. This case showed that: (1) internal cerebral vein thrombosis can have severe consequences on cognition and memory, and that late prognosis is not as fair as has been previously reported in selected patients, and (2) left diencephalic structures are specifically associated with recollection of verbal information from long-term memory.
报告了一例左侧大脑内静脉供血区单侧梗死病例，该梗死严重干扰认知过程，尤其是言语记忆中的回忆。这位22岁的患者在与直窦和左侧大脑内静脉血栓形成相关的左侧丘脑及纹状体-囊梗死中幸存。尽管出现了迟发性肌张力障碍，但运动和功能恢复情况尚可。在中风后的第二阶段，认知障碍严重，包括短期遗忘增加以及情景性（顺行性和逆行性）和语义性失忆。一年后，观察到言语回忆存在残余缺陷，这参与了顺行性和逆行性失忆。识别能力保存良好。该病例表明：（1）大脑内静脉血栓形成可对认知和记忆产生严重后果，且晚期预后不如先前在特定患者中报道的那么好；（2）左侧间脑结构与长期记忆中言语信息的回忆特别相关。
