[A case of bilateral paramedian thalamic infarction in childhood with the sensory disturbance and the sensory loss of taste].
[A case of bilateral paramedian thalamic infarction in childhood with the sensory disturbance and the sensory loss of taste].
复制标题
儿童双侧丘脑旁正中梗塞伴感觉障碍、味觉丧失1例[J].
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
Takanori Kamimura
中科院分区：
文献类型：
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作者：
J. Tohyama;O. Kanazawa;Noriyuki Akasaka;Takanori Kamimura
双侧丘脑旁正中核梗死的特征是意识障碍，随后是持续性痴呆、自发性降低、冷漠、健忘和眼球运动麻痹。我们报告一个15岁的男孩与这种综合征，谁表现出短暂的昏迷在发病。除了典型症状外，他还主诉下肢和面部感觉障碍以及味觉丧失。MRI显示对称性丘脑旁正中区梗死。中脑无病变。尽管进行了广泛的实验室和神经放射学检查，但该男孩的梗死病因仍不清楚。他的四肢和面部感觉障碍可能是由于丘脑旁正中动脉梗塞广泛累及丘脑下外侧区所致。这位病人说明，双侧旁正中丘脑梗死可以发生在一个以前健康的孩子。
Bilateral paramedian thalamic infarcts are characterized by disturbance of consciousness, followed by persisting dementia, decreased spontaneity, apathy, amnesia and paralysis of eye movement. We report a 15-year-old boy with this syndrome, who exhibited transient coma at the onset. In addition to the typical symptoms, he complained of sensory disturbance in the lower extremities and face and the loss of taste sense. MRI showed symmetric paramedian thalamic infarction. There was no lesion in the midbrain. The etiology of infarct in this boy remained unknown despite extensive laboratory and neuroradiological examination. His sensory disturbance in the extremities and face may be due to extensive involvement of the inferolateral area of the thalamus by infarction of the paramedian thalamic artery. This patient illustrates that bilateral paramedian thalamic infarction can occur in a previously healthy child.