[Non-dominant hemisphere syndrome as a result of a right thalamic infarct: an anatomoclinical case].
A 71 year old man had a massive left sensory deficit and hemiplegia, with left heminanopia, visual neglect and constructional apraxia. Moreover he experienced an extra-left arm and illusions of movements. 3 weeks later he suffered "thalamic" pain on left side; he died suddenly 6 weeks after the stroke. Post-mortem examination revealed: a) a right inner temporal and occipital infarction; b) a right thalamic infarction in the thalamogeniculate and paramedian territories; c) an infarction in the adjacent right internal capsule. Considering this case and pertinent literature on clinicopathological studies of right thalamic infarction, the authors suggest that a simultaneous ischaemia of thalamogeniculate and paramedian territories should be necessary to induce somatognosic and visuospatial disturbances.
D000368:Aged; D001072:Apraxias / Q000209:etiology*; D002544:Cerebral Infarction / Q000150:complications* / Q000473:pathology; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D006987:Hypesthesia / Q000209:etiology*; D008297:Male; D013577:Syndrome; D013786:Thalamic Diseases / Q000150:complications* / Q000473:pathology; D013788:Thalamus / Q000473:pathology; D014786:Vision Disorders / Q000209:etiology*
Syndrome de l'hémisphère mineur par infarctus thalamique droit: un cas anatomoclinique.