Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report.
Bilateral paramedian thalamic infarction is a rare subtype of stroke caused by occlusion of the artery of Percheron, an uncommon variant originating from one of the posterior cerebral arteries. This type of stroke has several major clinical presentations: altered mental status, behavioral amnestic impairment, aphasia or dysarthria, ocular movement disorders, motor deficits, cerebellar signs, and others. Few cases of bilateral paramedian thalamic infarction-related pseudobulbar palsy characterized by dysarthria, dysphagia, and facial and tongue weakness have been reported. We report here a rare case of acute severe pseudobulbar palsy as a manifestation of bilateral paramedian thalamic infarction.
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Hye Yeon
0000-0001-6625-3471
HY
Lee
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Min Jeong
0000-0003-3213-0697
MJ
Kim
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Bo-Ram
0000-0002-5463-1268
BR
Kim
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Seong-Eun
0000-0002-0446-1889
SE
Koh
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
In-Sik
0000-0001-8167-7168
IS
Lee
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.; International Healthcare Research Institute, Konkuk University, Seoul, Korea.
Jongmin
0000-0001-8718-0099
J
Lee
Infarction; Pseudobulbar palsy; Thalamus