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Case report
Transient vertical diplopia and nystagmus associated with acute thalamic infarction
Clinical Imaging
Volume 30, Issue 1, January-February 2006, Pages 54-56
Abstract
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.
References
[1] KO Lovblad, HJ Laubach and AE Baird, et al. Clinical experience with diffusion-weighted MR in patients with acute stroke. Am J Neuroradiol, 19 (1998), pp. 1061¨C1066. | View Record in Scopus | | Cited By in Scopus (315)
[2] H Toi, M Uno and M Harada, et al. Diagnosis of acute brain-stem infarcts using diffusion-weighted MRI. Neuroradiology, 45 (2003), pp. 352¨C356. | View Record in Scopus | | Full Text via CrossRef | Cited By in Scopus (14)
[3] L Rohl, J Geday, L Ostergaard and CZ Simonsen, et al. Correlation between diffusion- and perfusion-weighted MRI and neurological deficit measured by the Scandinavian Stroke Scale and Barthel Index in hyperacute subcortical stroke (¡Ü6 hours). Cerebrovasc Dis, 12 (2001), pp. 203¨C213. | View Record in Scopus | | Cited By in Scopus (16)
[4] P Brazis, J Masdeu and J Biller, Localization in clinical neurology, (4th ed.), Lippincott Williams and Wilkins, Philadelphia (2001).
[5] J Bogousslavsky and O Meinberg, Eye-movement disorders in brain-stem and cerebellar stroke. Arch Neurol, 44 (1987), pp. 141¨C148. | View Record in Scopus | | Cited By in Scopus (20)
[6] DQ Beversdorf, LR Jenkyn and JT Petrowski, et al. Vertical gaze paralysis and intermittent unresponsiveness in a patient with a thalamomesencephalic stroke. J Neuroophthalmol, 15 (1995), pp. 230¨C235. | View Record in Scopus | | Cited By in Scopus (5)
[7] D Deleu, Selective vertical saccadic palsy from unilateral medial thalamic infarction: clinical, neurophysiologic and MRI correlates. Acta Neurol Scand, 96 (1997), pp. 332¨C336. | View Record in Scopus | | Cited By in Scopus (11)
[8] J Schmahmann, Vascular syndromes of the thalamus. Stroke, 34 (2003), pp. 2264¨C2278. | View Record in Scopus | | Full Text via CrossRef | Cited By in Scopus (151)
[9] A Serra and RJ Leigh, Diagnostic value of nystagmus: spontaneous and induced ocular oscillations. J Neurol Neurosurg Psychiatry, 73 (2002), pp. 615¨C618. | View Record in Scopus | | Full Text via CrossRef | Cited By in Scopus (11)
[10] AO Rossetti, MD Renchart and J Bogousslavsky, Central Horner's syndrome with contralateral ataxic hemiparesis. Neurology, 61 (2003), pp. 334¨C338. | View Record in Scopus | | Cited By in Scopus (5)
[11] E Bennaroch, Medical neurosciences: an approach to anatomy, pathology and physiology by symptoms and levels, (4th ed.), Lippincott Williams and Wilkins, Philadelphia (1999).
Svetlana Blitshteyna, , , Kenneth Hentschela, Leo F. Czervionkeb, Benjamin H. Eidelmana
a Department of Neurology, Mayo Clinic Jacksonville, Jacksonville, FL 32224, USA
b Department of Diagnostic Radiology, Mayo Clinic Jacksonville, Jacksonville, FL 32224, USA
Transient vertical diplopia and nystagmus associated with acute thalamic infarction
Clinical Imaging
Volume 30, Issue 1, January-February 2006, Pages 54-56
Abstract
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.
References
[1] KO Lovblad, HJ Laubach and AE Baird, et al. Clinical experience with diffusion-weighted MR in patients with acute stroke. Am J Neuroradiol, 19 (1998), pp. 1061¨C1066. | View Record in Scopus | | Cited By in Scopus (315)
[2] H Toi, M Uno and M Harada, et al. Diagnosis of acute brain-stem infarcts using diffusion-weighted MRI. Neuroradiology, 45 (2003), pp. 352¨C356. | View Record in Scopus | | Full Text via CrossRef | Cited By in Scopus (14)
[3] L Rohl, J Geday, L Ostergaard and CZ Simonsen, et al. Correlation between diffusion- and perfusion-weighted MRI and neurological deficit measured by the Scandinavian Stroke Scale and Barthel Index in hyperacute subcortical stroke (¡Ü6 hours). Cerebrovasc Dis, 12 (2001), pp. 203¨C213. | View Record in Scopus | | Cited By in Scopus (16)
[4] P Brazis, J Masdeu and J Biller, Localization in clinical neurology, (4th ed.), Lippincott Williams and Wilkins, Philadelphia (2001).
[5] J Bogousslavsky and O Meinberg, Eye-movement disorders in brain-stem and cerebellar stroke. Arch Neurol, 44 (1987), pp. 141¨C148. | View Record in Scopus | | Cited By in Scopus (20)
[6] DQ Beversdorf, LR Jenkyn and JT Petrowski, et al. Vertical gaze paralysis and intermittent unresponsiveness in a patient with a thalamomesencephalic stroke. J Neuroophthalmol, 15 (1995), pp. 230¨C235. | View Record in Scopus | | Cited By in Scopus (5)
[7] D Deleu, Selective vertical saccadic palsy from unilateral medial thalamic infarction: clinical, neurophysiologic and MRI correlates. Acta Neurol Scand, 96 (1997), pp. 332¨C336. | View Record in Scopus | | Cited By in Scopus (11)
[8] J Schmahmann, Vascular syndromes of the thalamus. Stroke, 34 (2003), pp. 2264¨C2278. | View Record in Scopus | | Full Text via CrossRef | Cited By in Scopus (151)
[9] A Serra and RJ Leigh, Diagnostic value of nystagmus: spontaneous and induced ocular oscillations. J Neurol Neurosurg Psychiatry, 73 (2002), pp. 615¨C618. | View Record in Scopus | | Full Text via CrossRef | Cited By in Scopus (11)
[10] AO Rossetti, MD Renchart and J Bogousslavsky, Central Horner's syndrome with contralateral ataxic hemiparesis. Neurology, 61 (2003), pp. 334¨C338. | View Record in Scopus | | Cited By in Scopus (5)
[11] E Bennaroch, Medical neurosciences: an approach to anatomy, pathology and physiology by symptoms and levels, (4th ed.), Lippincott Williams and Wilkins, Philadelphia (1999).
Svetlana Blitshteyna, , , Kenneth Hentschela, Leo F. Czervionkeb, Benjamin H. Eidelmana
a Department of Neurology, Mayo Clinic Jacksonville, Jacksonville, FL 32224, USA
b Department of Diagnostic Radiology, Mayo Clinic Jacksonville, Jacksonville, FL 32224, USA