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題 名 | Hypesthetic-Ataxic-Hemiparesis Syndrome Following Thalamic Infarct=丘腦梗塞引起的感覺異常失調性半邊輕癱症 |
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作 者 | 陳俊安; 李俊泰; 許燿東; 林健群; | 書刊名 | Journal of Medical Sciences |
卷 期 | 23:6 2003.12[民92.12] |
頁 次 | 頁337-341 |
分類號 | 415.92 |
關鍵詞 | 丘腦梗塞; 失調性半邊輕癱症; Ataxic hemiparesis; Thalamic infarct; |
語 文 | 英文(English) |
英文摘要 | Thalamic lesions give rise to a variety of clinical syndromes including neuropsychological dysfunction, sensory deficits as well as hemiataxia. Ataxic hemiparesis syndrome following thalamic infarct is infrequent. Herein, we describe 3 patients who exhibited acute onset of ataxic hemiparesis contralateral to a thalamic infarct. All patients presented apparent dysmetria and ipsilateral hemiparesis. They also had paresthesia, hypesthesia and hypalgesia over hand and face ipsilateral to the ataxic limbs. The proprioception was normal in all patients. Magnetic resonance imaging showed lacunar infarction at the ventral lateral nucleus of the thalamus. Magnetic resonance angiography demonstrated occlusion or stenosis at the P2 segment of the posterior cerebral artery in 2 patients. The hemiataxia, hemiparesis, and hypesthesia resolved within 2 months after the disease onset in all patients. Our cases demonstrate that lacunar thalamic infarct may present with hypesthesia, hemiataxia, and hemiparesis on the same side of the body, and the outcome is usually good. The mechanisms of the development of hypesthesia, hemiataxia, and hemiparesis in these patients are discussed. |
本系統中英文摘要資訊取自各篇刊載內容。