Caudal Cingulate Infarction Manifesting Astasia

Introduction: Astasia is a rare presenting symptom of stroke, usually known as ‘thalamic astasia', induced by a lesion in the ventrolateral thalamus. We report a case of caudal cingulate infarction manifesting astasia. Case Presentation: A 58-year-old male presented with inability to sit, stand...

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Main Authors: Takeshi Satow, Taro Komuro, Akira Kobayashi
Format: Article
Language:English
Published: Karger Publishers 2014-01-01
Series:Case Reports in Neurology
Subjects:
Online Access:http://www.karger.com/Article/FullText/358047
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author Takeshi Satow
Taro Komuro
Akira Kobayashi
author_facet Takeshi Satow
Taro Komuro
Akira Kobayashi
author_sort Takeshi Satow
collection DOAJ
description Introduction: Astasia is a rare presenting symptom of stroke, usually known as ‘thalamic astasia', induced by a lesion in the ventrolateral thalamus. We report a case of caudal cingulate infarction manifesting astasia. Case Presentation: A 58-year-old male presented with inability to sit, stand and walk (astasia). No apparent motor weakness was noticed in the extremities. MRI revealed cerebral infarction in the caudal cingulate gyrus, which was located between the vertical commissure anterior (VCA) line and vertical commissure posterior (VPC) line. His symptoms persisted for 1 year to a lesser degree. Conclusion: Lesions in the caudal cingulate gyrus can present with astasia. The responsible lesion is located in the cingulate gyrus between the VCA and VPC line, which might correspond to the caudal cingulate zone in humans. We should keep in mind that astasia can be a presenting symptom of stroke.
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spelling doaj.art-567a8751b8774f24ba0931515f7374ad2022-12-22T03:24:03ZengKarger PublishersCase Reports in Neurology1662-680X2014-01-0161141710.1159/000358047358047Caudal Cingulate Infarction Manifesting AstasiaTakeshi SatowTaro KomuroAkira KobayashiIntroduction: Astasia is a rare presenting symptom of stroke, usually known as ‘thalamic astasia', induced by a lesion in the ventrolateral thalamus. We report a case of caudal cingulate infarction manifesting astasia. Case Presentation: A 58-year-old male presented with inability to sit, stand and walk (astasia). No apparent motor weakness was noticed in the extremities. MRI revealed cerebral infarction in the caudal cingulate gyrus, which was located between the vertical commissure anterior (VCA) line and vertical commissure posterior (VPC) line. His symptoms persisted for 1 year to a lesser degree. Conclusion: Lesions in the caudal cingulate gyrus can present with astasia. The responsible lesion is located in the cingulate gyrus between the VCA and VPC line, which might correspond to the caudal cingulate zone in humans. We should keep in mind that astasia can be a presenting symptom of stroke.http://www.karger.com/Article/FullText/358047AstasiaStrokeCingulate motor area
spellingShingle Takeshi Satow
Taro Komuro
Akira Kobayashi
Caudal Cingulate Infarction Manifesting Astasia
Case Reports in Neurology
Astasia
Stroke
Cingulate motor area
title Caudal Cingulate Infarction Manifesting Astasia
title_full Caudal Cingulate Infarction Manifesting Astasia
title_fullStr Caudal Cingulate Infarction Manifesting Astasia
title_full_unstemmed Caudal Cingulate Infarction Manifesting Astasia
title_short Caudal Cingulate Infarction Manifesting Astasia
title_sort caudal cingulate infarction manifesting astasia
topic Astasia
Stroke
Cingulate motor area
url http://www.karger.com/Article/FullText/358047
work_keys_str_mv AT takeshisatow caudalcingulateinfarctionmanifestingastasia
AT tarokomuro caudalcingulateinfarctionmanifestingastasia
AT akirakobayashi caudalcingulateinfarctionmanifestingastasia