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KMID : 0361420160400040751
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Journal of Korean Academy of Rehabilitation Medicine
2016 Volume.40 No. 4 p.751 ~ p.756
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Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report
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Lee Hye-Yeon
Kim Min-Jeong
Kim Bo-Ram
Koh Seong-Eun
Lee In-Sik
Lee Jong-Min
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Abstract
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Bilateral paramedian thalamic infarction is a rare subtype of stroke caused by occlusion of the artery of Percheron, an uncommon variant originating from one of the posterior cerebral arteries. This type of stroke has several major clinical presentations: altered mental status, behavioral amnestic impairment, aphasia or dysarthria, ocular movement disorders, motor deficits, cerebellar signs, and others. Few cases of bilateral paramedian thalamic infarction-related pseudobulbar palsy characterized by dysarthria, dysphagia, and facial and tongue weakness have been reported. We report here a rare case of acute severe pseudobulbar palsy as a manifestation of bilateral paramedian thalamic infarction.
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KEYWORD
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Pseudobulbar palsy, Thalamus, Infarction
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