Table 3

Anatomical–clinical correlation of symptoms exhibited by patient with third ventricle (hypothalamic) relapse of cardiac large B-cell lymphoma

Anatomical structure*Symptoms
Fornix (bilateral tracts) and projections to anterior thalamic nuclear complex and dorsomedial thalamic nucleusAmnesia: episodic memory loss for verbal and visual information; learning impairment
Fornix and anterior thalamic complexConfabulation
Thalamic projections to cingulate cortex and orbitofrontal medial cortexApathy, lack of self-initiated action
Thalamic projections to orbitofrontal cortexPseudobulbar affect, crying spells
Fornix tractsAlexia–agraphia
Medial thalamus, anterior hypothalamic cholinergic and GABAergic neurons.
Lateral hypothalamic neurons (orexin, melanin-concentrating)
Sleep attacks, alteration of circadian rhythm of wakefulness– sleep
Ventromedial hypothalamic nucleus, arcuate nucleusHyperphagia, alteration of appetite
Supraoptic and paraventricular nuclei, mediobasal hypothalamus (arginine vasopressin)Diabetes insipidus responsive to desmopressin
  • *Nomenclature according to: Swaab DF. The Human Hypothalamus: Basic and Clinical Aspects. Part I: Nuclei of the Human Hypothalamus. Handb Clin Neurol 2003;79:1–597.