KMID : 0361420150390061033
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Journal of Korean Academy of Rehabilitation Medicine 2015 Volume.39 No. 6 p.1033 ~ p.1037
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Abnormal Ocular Movement With Executive Dysfunction and Personality Change in Subject With Thalamic Infarction: A Case Report
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Kim Ee-Jin
Kim Myeong-Ok Kim Chang-Hwan Joa Kyung-Lim Jung Han-Young
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Abstract
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The thalamus, located between the cerebrum and midbrain, is a nuclear complex connected to the cerebral cortex that influences motor skills, cognition, and mood. The thalamus is composed of 50-60 nuclei and can be divided into four areas according to vascular supply. In addition, it can be divided into five areas according to function. Many studies have reported on a thalamic infarction causing motor or sensory changes, but few have reported on behavioral and executive aspects of the ophthalmoplegia of the thalamus. This study reports a rare case of a paramedian thalamus infarction affecting the dorsomedial area of the thalamus, manifesting as oculomotor nerve palsy, an abnormal behavioral change, and executive dysfunction. This special case is presented with a review of the anatomical basis and function of the thalamus.
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KEYWORD
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Thalamus, Ophthalmoplegia, Executive function, Behavior
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