title: Paramedian Thalamic Ischemic Infarction: A Retrospective Clinical Observation.
abstract: The study aimed to evaluate the clinical features in patients with bilateral and unilateral paramedian thalamic infarcts.
  
  
  
  Twenty-one patients with paramedian thalamic infarcts were included, and their case records were reviewed. We focused on the patients' neuroimaging and neurological symptoms including the duration of coma, vertical gaze palsy, and memory impairment. The causes of bilateral and unilateral paramedian thalamic infarcts were also investigated.
  
  
  
  Nine patients had bilateral paramedian thalamic infarcts and 12 patients had unilateral lesions. As an initial symptom, coma had occurred in 5 patients with bilateral lesions and 4 patients with unilateral lesions. Bilateral vertical gaze palsy and memory impairment were found in both groups. Most of them recovered well, except 1 patient who died due to bilateral thalamic paramedian infarction.
  
  
  
  Our results show that both bilateral and unilateral paramedian thalamic infarcts can cause coma, vertical gaze palsy, and memory impairment. This may promote our understanding of paramedian thalamic infarction.
authors.affiliation: Department of Critical Care Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
authors.forename: Guoliang
authors.initials: G
authors.lastname: Lin
authors.forename: Xiong
authors.initials: X
authors.lastname: Zhang
authors.forename: Beilei
authors.initials: B
authors.lastname: Hu
authors.forename: Ming
authors.initials: M
authors.lastname: Zou
authors.forename: Songfang
authors.initials: S
authors.lastname: Chen
authors.forename: Yuqiang
authors.initials: Y
authors.lastname: Gong
authors.forename: Bihuan
authors.initials: B
authors.lastname: Cheng
authors.forename: Zhiyong
authors.initials: Z
authors.lastname: He
mesh_terms: D000328:Adult; D000368:Aged; D002544:Cerebral Infarction / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D059906:Neuroimaging; D020127:Recovery of Function; D012189:Retrospective Studies; D013788:Thalamus / Q000473:pathology*