Neurol. praxi. 2008;9(6):374-376

BILATERAL PARAMEDIAN THALAMIC INFARCTION AS A RARE CAUSE OF CONSCIOUSNESS DISTURBANCE

MUDr. Andrea Hergottová1, MUDr. František Cibulčík, PhD.1, PhDr. Karina Pribišová1, MUDr. Miroslav Satko2, MUDr. Denis Richter1, MUDr. František Jurčaga
1 Neurologická klinika SZU a FNsP Bratislava-Ružinov
2 NMR pracovisko Dr. Magnet s.r.o., Bratislava

Paramedian thalamic infarctions (particularly the relatively frequently occurring bilateral ones) represent a very remarkable clinical entity. Bilateral paramedian thalamic infarction was described for the first time by Schuster more than 70 years ago, presenting with a classical triad of consciousness disturbances, vertical gaze, and amnesic syndrome. Despite a long period of time and a number of publications since, there is still little awareness among clinicians and differential diagnosis in the case of acute consciousness disturbances is difficult. We report a case of a patient with bilateral paramedian thalamic infarction and discuss the mechanism of origin of clinical symptomatology.

Keywords: Key words: cerebral infarction, thalamus, consciousness disturbances.

Published: January 1, 2009  Show citation

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Hergottová A, Cibulčík F, Pribišová K, Satko M, Richter D, Jurčaga F. BILATERAL PARAMEDIAN THALAMIC INFARCTION AS A RARE CAUSE OF CONSCIOUSNESS DISTURBANCE. Neurol. praxi. 2008;9(6):374-376.
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