Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report.
10.5535/arm.2016.40.4.751
- Author:
Hye Yeon LEE
1
;
Min Jeong KIM
;
Bo Ram KIM
;
Seong Eun KOH
;
In Sik LEE
;
Jongmin LEE
Author Information
1. Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. leej@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Pseudobulbar palsy;
Thalamus;
Infarction
- MeSH:
Aphasia;
Arteries;
Deglutition Disorders;
Dysarthria;
Infarction*;
Movement Disorders;
Posterior Cerebral Artery;
Pseudobulbar Palsy*;
Stroke;
Thalamus;
Tongue
- From:Annals of Rehabilitation Medicine
2016;40(4):751-756
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bilateral paramedian thalamic infarction is a rare subtype of stroke caused by occlusion of the artery of Percheron, an uncommon variant originating from one of the posterior cerebral arteries. This type of stroke has several major clinical presentations: altered mental status, behavioral amnestic impairment, aphasia or dysarthria, ocular movement disorders, motor deficits, cerebellar signs, and others. Few cases of bilateral paramedian thalamic infarction-related pseudobulbar palsy characterized by dysarthria, dysphagia, and facial and tongue weakness have been reported. We report here a rare case of acute severe pseudobulbar palsy as a manifestation of bilateral paramedian thalamic infarction.
