BILATERAL NEUROPSYCHOLOGICAL DEFICITS IN UNILATERAL PARAMEDIAN THALAMIC INFARCTION

被引:9
作者
BAUMGARTNER, RW [1 ]
REGARD, M [1 ]
机构
[1] UNIV HOSP ZURICH, DEPT NEUROL, CH-8091 ZURICH, SWITZERLAND
关键词
PARAMEDIAN THALAMIC INFARCTION; NEUROPSYCHOLOGICAL DEFICITS; THALAMIC STROKE; UNILATERAL DIENCEPHALIC ISCHEMIA;
D O I
10.1159/000116935
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The neuropsychological deficits in 5 patients with chronic and MRI-proven unilateral infarctions in the perfusion teritory of the paramedian thalamic arteries were studied. All patients showed deficits pointing to a dysfunction of frontotemporal hemispheric structures on the side of the thalamic lesion. However, 4 patients revealed additionally neuropsychological deficits pointing to a dysfunction of frontotemporal hemispheric structures overlying the nonaffected thalamus. The contralateral deficits showed (in 4 patients) signs of temporal and (in 3 patients) frontal lobe dysfunction. It is suggested that the bilaterality of the neuropsychological deficits results from additional contralateral thalamic lesions not detected by MRI and/or from bilateral cortical hypometabolism.
引用
收藏
页码:195 / 198
页数:4
相关论文
共 33 条
[1]   APHASIA AFTER LEFT HEMISPHERIC INTRA-CEREBRAL HEMORRHAGE [J].
ALEXANDER, MP ;
LOVERME, SR .
NEUROLOGY, 1980, 30 (11) :1193-1202
[2]  
BARON JC, 1986, REV NEUROL, V142, P465
[3]   EFFECTS OF THALAMIC STROKE ON ENERGY-METABOLISM OF THE CEREBRAL-CORTEX - A POSITRON TOMOGRAPHY STUDY IN MAN [J].
BARON, JC ;
DANTONA, R ;
PANTANO, P ;
SERDARU, M ;
SAMSON, Y ;
BOUSSER, MG .
BRAIN, 1986, 109 :1243-1259
[4]   THALAMIC INFARCTS - CLINICAL SYNDROMES, ETIOLOGY, AND PROGNOSIS [J].
BOGOUSSLAVSKY, J ;
REGLI, F ;
USKE, A .
NEUROLOGY, 1988, 38 (06) :837-848
[5]  
BRICKENKAMP R, 1981, TEST D2 AUFMERKSAMKE
[6]   PARAMEDIAN THALAMIC AND MIDBRAIN INFARCTS - CLINICAL AND NEUROPATHOLOGICAL STUDY [J].
CASTAIGNE, P ;
LHERMITTE, F ;
BUGE, A ;
ESCOUROLLE, R ;
HAUW, JJ ;
LYONCAEN, O .
ANNALS OF NEUROLOGY, 1981, 10 (02) :127-148
[7]  
DURET H, 1874, ARCH PHYSL NORM PATH, V1, P316
[8]  
Duret H, 1874, ARCH PHYSL NORM PATH, V6, P60
[9]   DIASCHISIS [J].
FEENEY, DM ;
BARON, JC .
STROKE, 1986, 17 (05) :817-830
[10]  
Foix C, 1925, REV NEUROL-FRANCE, V44, P705