Unilateral thalamic infarction presenting as vertical gaze palsy: a case report

INTRODUCTION: Vertical gaze palsy is a recognized manifestation of midbrain lesions. It rarely is a consequence of unilateral thalamic infarction. CASE PRESENTATION: We report the case of a 48-year-old African-American woman who presented to our facility with vertical gaze palsy and evidence of left...

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Autores principales: Khan, Muhib, Sidiropoulos, Christos, Mitsias, Panayiotis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219577/
https://www.ncbi.nlm.nih.gov/pubmed/22040522
http://dx.doi.org/10.1186/1752-1947-5-535
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author Khan, Muhib
Sidiropoulos, Christos
Mitsias, Panayiotis
author_facet Khan, Muhib
Sidiropoulos, Christos
Mitsias, Panayiotis
author_sort Khan, Muhib
collection PubMed
description INTRODUCTION: Vertical gaze palsy is a recognized manifestation of midbrain lesions. It rarely is a consequence of unilateral thalamic infarction. CASE PRESENTATION: We report the case of a 48-year-old African-American woman who presented to our facility with vertical gaze palsy and evidence of left medial thalamic infarct on diffusion-weighted imaging without coexisting midbrain ischemia. The etiology of infarct was determined to be small vessel disease after extensive investigation. CONCLUSIONS: This report suggests a possible role of the thalamus as a vertical gaze control center. Clinicoradiological studies are needed to further define the role of the thalamus in vertical gaze control.
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spelling pubmed-32195772011-11-18 Unilateral thalamic infarction presenting as vertical gaze palsy: a case report Khan, Muhib Sidiropoulos, Christos Mitsias, Panayiotis J Med Case Reports Case Report INTRODUCTION: Vertical gaze palsy is a recognized manifestation of midbrain lesions. It rarely is a consequence of unilateral thalamic infarction. CASE PRESENTATION: We report the case of a 48-year-old African-American woman who presented to our facility with vertical gaze palsy and evidence of left medial thalamic infarct on diffusion-weighted imaging without coexisting midbrain ischemia. The etiology of infarct was determined to be small vessel disease after extensive investigation. CONCLUSIONS: This report suggests a possible role of the thalamus as a vertical gaze control center. Clinicoradiological studies are needed to further define the role of the thalamus in vertical gaze control. BioMed Central 2011-10-31 /pmc/articles/PMC3219577/ /pubmed/22040522 http://dx.doi.org/10.1186/1752-1947-5-535 Text en Copyright ©2011 Khan et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Khan, Muhib
Sidiropoulos, Christos
Mitsias, Panayiotis
Unilateral thalamic infarction presenting as vertical gaze palsy: a case report
title Unilateral thalamic infarction presenting as vertical gaze palsy: a case report
title_full Unilateral thalamic infarction presenting as vertical gaze palsy: a case report
title_fullStr Unilateral thalamic infarction presenting as vertical gaze palsy: a case report
title_full_unstemmed Unilateral thalamic infarction presenting as vertical gaze palsy: a case report
title_short Unilateral thalamic infarction presenting as vertical gaze palsy: a case report
title_sort unilateral thalamic infarction presenting as vertical gaze palsy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219577/
https://www.ncbi.nlm.nih.gov/pubmed/22040522
http://dx.doi.org/10.1186/1752-1947-5-535
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