Bilateral thalamic infarcts presenting oculomotor nerve palsy: case report

Authors

  • Hari Babu Ramineni Department of Clinical Pharmacy, Chebrolu Hanumaiah Institute of Pharmaceutical Sciences, Guntur, A.P.
  • Seshabala Mukiri Department of Clinical Pharmacy, Chebrolu Hanumaiah Institute of Pharmaceutical Sciences, Guntur, A.P.
  • Poornima Jammula Department of Clinical Pharmacy, Chebrolu Hanumaiah Institute of Pharmaceutical Sciences, Guntur, A.P.
  • Vidyadhara Suryadevara Department of Clinical Pharmacy, Chebrolu Hanumaiah Institute of Pharmaceutical Sciences, Guntur, A.P.

Keywords:

Oculomotor nerve palsy, Speech disturbance, Visual disturbances

Abstract

Bilateral thalamic infarctions are rare; oculomotor nerve palsy can be the result of direct or indirect damage to the oculomotor nerve. We report a case of oculomotor nerve palsy associated with changes in visual pattern and speech disturbances. There is no loss of consciousness. A computed tomography scan of brain showed acute bilateral thalamic infarct. Oculomotor nerve palsies with pupillary involvement warrant thorough investigation and there is no treatment to re-establish function of the weak nerve other than the body’s own healing process.

References

Partlow GD, DelCarpio-O’Donovan R, Melanson D, Peters TM. Bilateral thalamic glioma: review of eight cases with personality change and mental deterioration. Am J Neuroradiol. 1992;13:1225-30.

Kumral E, Evyapan D, Balkir K, Kutluhan S. Bilateral thalamic infarction. Clinical, etiological and MRI correlates. Acta Neurologica Scandinavica. 2001;103(1):35-42.

Zola-Morgan S, Squire LR, Amaral DG. Human amnesia and the medial temporal region: enduring memory impairment following a bilateral lesion limited to field CA1 of thehippocampus. J Neurosci. 1986;6:2950-67.

Sandson TA, Da Vner KR, Carvalho PA, Mesulam MM. Frontal lobe dysfunction following infarctionof the left-sided medial thalamus. Arch Neurol. 1991;48:1300-3.

Rucker CW. Paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol. 1958;46:787-94.

López-Serna R, González-Carmona P, López-Martínez M. Bilateral thalamic stroke due toocclusion of the artery of Percheron in a patient with patent foramen ovale: a case report. J Med Case Rep. 2009 Sep;3:7392.

Schmahmann JD. Vascular syndromes of the thalamus. Stroke. 2003;34:2264-78.

Khanna PC, Iyer RS, Chaturvedi A, Thapa MM, Chaturvedi A, Ishak GE, et al. Imaging bithalamic pathology in the pediatric brain: demystifying a diagnostic conundrum. Am J Roentgenol. 2011;197(6):1449-59.

Carrera E, Bogousslavsky J. The thalamus and behavior: effects of anatomically distinct strokes. Neurology. 2006;66:1817-23.

Downloads

Published

2017-01-05

How to Cite

Ramineni, H. B., Mukiri, S., Jammula, P., & Suryadevara, V. (2017). Bilateral thalamic infarcts presenting oculomotor nerve palsy: case report. International Journal of Research in Medical Sciences, 3(1), 379–380. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1280

Issue

Section

Case Reports