Right Anterior Thalamic Infarction Presenting Only with Cognitive Dysfunction.
- Author:
Sun Ah PARK
1
;
Dong Chul PARK
;
Yeon Wook KANG
;
Kyoon HUH
Author Information
1. Department of Neurology, Ajou University School of Medicine.
- Publication Type:Original Article
- Keywords:
Thalamus;
Infarction;
Memory;
Dementia;
MRI
- MeSH:
Brain;
Dementia;
Humans;
Infarction*;
Magnetic Resonance Imaging;
Mediodorsal Thalamic Nucleus;
Memory;
Memory Disorders;
Middle Aged;
Neuropsychological Tests;
Thalamus
- From:Journal of the Korean Neurological Association
1999;17(6):869-873
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 60 year-old right-handed man developed a sudden inability to find his way home from work. Neurologic examina-tions revealed no focal neurological deficit. Neuropsychological tests showed a memory deficit especially in the visu-ospatial domain along with visuospatial and frontal-executive dysfunction. A brain MRI revealed a small but discrete lesion in the right thalamus. The majority of the lesion was confined to the dorsomedial nucleus. These results suggest that a small unilateral thalamic infarction affecting the anterior area may be sufficient to produce "strategic-infarct dementia" without focal neurological deficit.