Naslov
The case of a patient with Thalamic syndrome

Autori
Cesarik, Marijan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Neurol Croat 1996 45 supl 2 / - , 1996, 62-63

Skup
36th International Neuropsychiatric Symposium

Mjesto i datum
Pula, Hrvatska, 05.06.1996. - 08.06.1996

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
Thalamic syndrome

Sažetak
A female patient aged 30 years was admitted to the hospital in an unconscious state, after she had collapsed in her home. Two weeks before she had been treated by her physician for peritonsilar abscess. At the age of 14 a cardiac surgery was performed due to the trilogy of Fallot. At the admission the disturbance of consciousness varied from sopor to somnolence. In neurological status were registered central facioparesis and ipsilateral hemiparesis on the right, as well as the bulbar deviation to the left. The performed brain CT, as all further ones, did not show pathological substrate. MRI of the brain (performed 4 years after the stroke) presented lacunar infarcts in the thalamus area. Soon she got attacks of throbbing headaches with transient leftsided hemiplegias and spontaneous pains in this half of the body, ipsilateral superficial and deep sensory loss and choreoathetosis, followed by astereognosis, hemiataxia and scanning speech. Choreoathetotic tremor was accompanied by "thalamic hand" with finger hyperextension in the basal, and occasional flexion in the interfalangeal joints. Having in mind that the attacks of hemiplegia and thalamic pain occurred episodically 1-2 times a month, carbamazepine was introduced as therapy (Tegretol 200 mg) 2x1, and the attacks were significantly reduced to 1-2 a year, they lasted shorter and are of less intensity. Within the last year there were no attacks of thalamic pain, hemi- plegia and choreootethosls chorcrcte-ristic for the tholomic syndrome.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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