Rare coexistence of multiple manifestations secondary to thalamic hemorrhage:A case report  

作　　者：Qi-Wei Yu Tian-Fen Ye Wen-Jun Qian 

机构地区：[1]Department of Rehabilitation Medicine,The Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215008,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2021年第18期4817-4822,共6页世界临床病例杂志

摘　　要：BACKGROUND A growing body of literature indicates that the occurrence of thalamic lesions could lead to various dysfunctions,such as somatosensory disturbances,hemiparesis,language deficits,and movement disorders.However,clinical cases describing the coexistence of these types of manifestations have not been reported.Herein,we report a patient who exhibited these rare complications secondary to thalamic hemorrhage.CASE SUMMARY A 53-year-old right-handed man experienced sudden left hemiparesis,numbness of the left side of body,and language alterations due to an acute hemorrhage located in the right basal ganglia and thalamus 18 mo ago.Approximately 17 mo after the onset of stroke,he exhibited rare complications including dysphasia,kinetic tremor confined to the left calf,and mirror movement of the left arm which are unique and interesting,and a follow-up computed tomography scan revealed an old hemorrhagic lesion in the right thalamus and posterior limb of the internal capsule.CONCLUSION Hypophonia may be a recognizable clinical sign of thalamus lesions;thalamus injury could cause tremor confined to the lower extremity and mimicking extremity movements.

关 键 词：Thalamic stroke DYSPHASIA Movement disorders Case report 

分 类 号：R743.3[医药卫生—神经病学与精神病学]