Percheron thalamopeduncular syndrome with cervical dystonia: A case report

ABSTRACT Bilateral thalamic infarctions are usually caused by occlusion of the "Artery of Percheron" (AoP). Thalamopeduncular syndrome is among the most common presentations of AoP occlusion. A 59-year-old male presented abrupt decreased level of consciousness. After several weeks, on rega...

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Main Authors: Luiz Felipe Vasconcellos, Chan Tiel, Felipe Kenji Sudo, Denise Madeira Moreira, Eliasz Engelhardt
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400365&lng=en&tlng=en
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author Luiz Felipe Vasconcellos
Chan Tiel
Felipe Kenji Sudo
Denise Madeira Moreira
Eliasz Engelhardt
author_facet Luiz Felipe Vasconcellos
Chan Tiel
Felipe Kenji Sudo
Denise Madeira Moreira
Eliasz Engelhardt
author_sort Luiz Felipe Vasconcellos
collection DOAJ
description ABSTRACT Bilateral thalamic infarctions are usually caused by occlusion of the "Artery of Percheron" (AoP). Thalamopeduncular syndrome is among the most common presentations of AoP occlusion. A 59-year-old male presented abrupt decreased level of consciousness. After several weeks, on regaining consciousness, he exhibited oculomotor abnormalities, ataxic gait, cervical dystonia, and cognitive and behavioral changes. Magnetic resonance imaging disclosed thalamic, subthalamic, mammillary and midbrain infarction. Clinical features suggestive of bilateral thalamopeduncular syndrome were identified. Besides the presence of cognitive impairment and behavioral symptoms, cervical dystonia was evident, possibly resulting from interruption of the interconnections among basal ganglia, thalamus, subthalamus, midbrain and cerebellum.
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spelling doaj.art-e4b54206665d41cd8dd228975d7afaa82022-12-22T03:58:31ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-576410436536910.1590/s1980-5764-2016dn1004019S1980-57642016000400365Percheron thalamopeduncular syndrome with cervical dystonia: A case reportLuiz Felipe VasconcellosChan TielFelipe Kenji SudoDenise Madeira MoreiraEliasz EngelhardtABSTRACT Bilateral thalamic infarctions are usually caused by occlusion of the "Artery of Percheron" (AoP). Thalamopeduncular syndrome is among the most common presentations of AoP occlusion. A 59-year-old male presented abrupt decreased level of consciousness. After several weeks, on regaining consciousness, he exhibited oculomotor abnormalities, ataxic gait, cervical dystonia, and cognitive and behavioral changes. Magnetic resonance imaging disclosed thalamic, subthalamic, mammillary and midbrain infarction. Clinical features suggestive of bilateral thalamopeduncular syndrome were identified. Besides the presence of cognitive impairment and behavioral symptoms, cervical dystonia was evident, possibly resulting from interruption of the interconnections among basal ganglia, thalamus, subthalamus, midbrain and cerebellum.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400365&lng=en&tlng=ensíndrome talamopedunculardistonia cervicaltorcicoloartéria de Percherondemência vascular
spellingShingle Luiz Felipe Vasconcellos
Chan Tiel
Felipe Kenji Sudo
Denise Madeira Moreira
Eliasz Engelhardt
Percheron thalamopeduncular syndrome with cervical dystonia: A case report
Dementia & Neuropsychologia
síndrome talamopeduncular
distonia cervical
torcicolo
artéria de Percheron
demência vascular
title Percheron thalamopeduncular syndrome with cervical dystonia: A case report
title_full Percheron thalamopeduncular syndrome with cervical dystonia: A case report
title_fullStr Percheron thalamopeduncular syndrome with cervical dystonia: A case report
title_full_unstemmed Percheron thalamopeduncular syndrome with cervical dystonia: A case report
title_short Percheron thalamopeduncular syndrome with cervical dystonia: A case report
title_sort percheron thalamopeduncular syndrome with cervical dystonia a case report
topic síndrome talamopeduncular
distonia cervical
torcicolo
artéria de Percheron
demência vascular
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400365&lng=en&tlng=en
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AT chantiel percheronthalamopeduncularsyndromewithcervicaldystoniaacasereport
AT felipekenjisudo percheronthalamopeduncularsyndromewithcervicaldystoniaacasereport
AT denisemadeiramoreira percheronthalamopeduncularsyndromewithcervicaldystoniaacasereport
AT eliaszengelhardt percheronthalamopeduncularsyndromewithcervicaldystoniaacasereport