Transient vertical diplopia and nystagmus associated with acute thalamic infarction.
We describe a patient who presented with a 1-h history of vertical diplopia and nystagmus and was found to have acute left ventrolateral thalamic infarction on the diffusion-weighted magnetic resonance imaging (DWI MRI). This is the first case report demonstrating that vertical diplopia and nystagmus, which typically suggest a lesion in the brainstem or cerebellum, may also occur in acute thalamic infarction. DWI MRI can detect thalamic infarction as early as 1 h after its clinical manifestations.
Blitshteyn
Svetlana
S
Department of Neurology, Mayo Clinic Jacksonville, Jacksonville, FL 32224, USA. blitshteyn.svetlana@mayo.edu
Hentschel
Kenneth
K
Czervionke
Leo F
LF
Eidelman
Benjamin H
BH
D000369:Aged, 80 and over; D004172:Diplopia / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009759:Nystagmus, Pathologic / Q000209:etiology*; D013786:Thalamic Diseases / Q000150:complications / Q000175:diagnosis*; D013788:Thalamus / Q000473:pathology*