Total recovery after bilateral paramedian thalamic infarct

Eur Neurol. 2000;44(4):216-8. doi: 10.1159/000008239.

Abstract

Bilateral paramedian thalamic infarcts are characterised initially by the association of acute vigilance disorders and vertical gaze palsy, followed by persisting dementia with severe mnemic disturbance, global aspontaneity and apathy. We describe a patient with a dramatic neuropsychological recovery, confirmed by testing examination and completed by a cerebral metabolism study. The pathophysiology of this type of cognitive deficit is discussed.

Publication types

  • Case Reports

MeSH terms

  • Akinetic Mutism / etiology
  • Akinetic Mutism / pathology
  • Akinetic Mutism / physiopathology
  • Brain Infarction / complications
  • Brain Infarction / pathology*
  • Brain Infarction / physiopathology
  • Disease Progression
  • Disorders of Excessive Somnolence / etiology
  • Disorders of Excessive Somnolence / pathology
  • Disorders of Excessive Somnolence / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Memory Disorders / etiology
  • Memory Disorders / pathology
  • Memory Disorders / physiopathology
  • Middle Aged
  • Ocular Motility Disorders / etiology
  • Ocular Motility Disorders / pathology
  • Ocular Motility Disorders / physiopathology
  • Recovery of Function / physiology*
  • Thalamic Diseases / complications
  • Thalamic Diseases / pathology*
  • Thalamic Diseases / physiopathology
  • Thalamus / blood supply
  • Thalamus / pathology*
  • Thalamus / physiopathology
  • Tomography, Emission-Computed, Single-Photon