Unilateral thalamic infarction presenting as vertical gaze palsy: A case report

被引：9
|
作者：
Khan M. [1 ]
Sidiropoulos C. [1 ]
Mitsias P. [1 ]
机构：
[1] Department of Neurology, Henry Ford Hospital, Detroit, MI
来源：
Journal of Medical Case Reports | / 5卷 / 1期
关键词：
Vertebral Artery; Small Vessel Disease; Catheter Angiography; Transverse Foramen; Medial Thalamus;
D O I：
10.1186/1752-1947-5-535
中图分类号：
学科分类号：
摘要：
Introduction. Vertical gaze palsy is a recognized manifestation of midbrain lesions. It rarely is a consequence of unilateral thalamic infarction. Case presentation. We report the case of a 48-year-old African-American woman who presented to our facility with vertical gaze palsy and evidence of left medial thalamic infarct on diffusion-weighted imaging without coexisting midbrain ischemia. The etiology of infarct was determined to be small vessel disease after extensive investigation. Conclusions: This report suggests a possible role of the thalamus as a vertical gaze control center. Clinicoradiological studies are needed to further define the role of the thalamus in vertical gaze control. © 2011Khan et al; licensee BioMed Central Ltd.
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