Lacunar thalamic stroke with pure cerebellar and proprioceptive deficits.
Case reports of two patients with cerebellar ataxia and proprioceptive sensory loss are presented. MRI of the brain revealed lesions of the ventroposterior part of the thalamus. These patients illustrate clinically the anatomical independence of cerebellar and sensory pathways in the thalamus. We suggest that the ataxic deficit is caused by interruption of cerebellar outflow pathways in the thalamus and not secondary to sensory deafferentation.
Gutrecht
J A
JA
Department of Neurology, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Zamani
A A
AA
Pandya
D N
DN
D000368:Aged; D002524:Cerebellar Ataxia / Q000175:diagnosis / Q000503:physiopathology*; D002531:Cerebellum / Q000503:physiopathology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009460:Neurologic Examination; D011434:Proprioception / Q000502:physiology*; D013786:Thalamic Diseases / Q000175:diagnosis / Q000503:physiopathology*; D013788:Thalamus / Q000503:physiopathology