[Acute pseudobulbar syndrome. Bilateral infarction of the junction of the internal capsule with the corona radiata].
A 33 year-old hypertensive woman presented with a pure, acute, pseudobulbar palsy, two years after a right transient facio-brachial hemiplegia. C.T. scan showed two areas of low density projecting over the junction of the internal capsule with the corona radiata, at the external border of the lateral ventricles. They involved the territories of both posterolateral choroidal arteries, at the junction with those of the external lenticulostriatal arteries. Clinical data, clinico-pathological correlations in pseudobulbar palsies, and new concepts about the corticobulbar tract anatomy are discussed with evidence from this case.
D000208:Acute Disease; D000328:Adult; D010244:Bulbar Palsy, Progressive / Q000175:diagnosis*; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002831:Choroid Plexus / Q000098:blood supply; D003342:Corpus Striatum / Q000098:blood supply* / Q000000981:diagnostic imaging; D003389:Cranial Nerve Diseases / Q000209:etiology; D003680:Deglutition Disorders / Q000209:etiology; D003937:Diagnosis, Differential; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D011712:Pyramidal Tracts / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014059:Tongue / Q000294:innervation; D014832:Voice Disorders / Q000209:etiology
Syndrome pseudo-bulbaire aigu. Infarctus bilatéral de la jonction capsule interne corona radiata.