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Unusual association of diseases/symptoms
CASE REPORT
Anteromedial thalamic infarct: a rare presentation
  1. Syed H Shabbir1,
  2. Faryal Nadeem2,
  3. Daniel Labovitz1
  1. 1Department of Neurology, Montefiore Hospital and Medical Center, Bronx, New York, USA
  2. 2Department of Medicine, Capital Health Regional Medical Center, Trenton, New Jersey, USA
  1. Correspondence to Dr Syed H Shabbir, syedhshabbir{at}gmail.com

Summary

We report a rare presentation of an anteromedial thalamic infarct in a 50-year-old woman with acute onset left eye ptosis, vertical gaze paresis and confusion. MRI identified an acute left anteromedial thalamic infarct with a severe left P1 stenosis. Thalamic infarcts are associated with marked neurobehavioural disturbances with dominant thalamic lesions causing language deficits, verbal perseveration, memory disturbances, abulia and disorientation. Ocular movement deficits can also be present and typically accompany paramedian lesions. Rarely, patients can develop an ipsilateral ptosis. We discuss these symptoms and review the literature.

  • cranial nerves
  • neuroimaging
  • neuroopthalmology
  • stroke

https://doi.org/10.1136/bcr-2017-223404

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    Footnotes

    • Contributors SHS: design, draft and revision. FN: draft and critical revision of content. DL: critical revision of content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.