Selective proprioceptive loss from a thalamic lacunar stroke.

In an elderly woman a small thalamic infarct, documented by computed tomography and nuclear magnetic resonance imaging, caused proprioceptive loss contralaterally without impairment of other sensory modalities. This patient, the first so reported, demonstrates the anatomic separation of spinothalamic and dorsal column/medial lemniscus sensory modalities in the human thalamus.

[1]  N. L. Rosenberg,et al.  Computerized tomography and pure Sensory stroke , 1981, Neurology.

[2]  G. Landi,et al.  CT scan evidence of postero-latero thalamic infarction in pure sensory stroke. , 1984, Journal of neurology, neurosurgery, and psychiatry.

[3]  C. Fisher.  Pure sensory stroke involving face, arm, and leg , 1965, Neurology.

[4]  J. Boivie.  An anatomical reinvestigation of the termination of the spinothalamic tract in the monkey , 1979, The Journal of comparative neurology.

[5]  a.R.V.,et al.  Human Neuroanatomy , 1954, Neurology.

[6]  W. T. Thach,et al.  Distribution of cerebellar terminations and their relation to other afferent terminations in the ventral lateral thalamic region of the monkey , 1983, Brain Research Reviews.

[7]  Jones Eg.  Functional subdivision and synaptic organization of the mammalian thalamus. , 1981 .

[8]  F. Bolgert,et al.  Pure Sensory Stroke Caused by a Small Cortical Infarct in the Middle Cerebral Artery Territory , 1984, Stroke.

[9]  W. T. Thach,et al.  Cytoarchitectonic delineation of the ventral lateral thalamic region in the monkey , 1983, Brain Research Reviews.

[10]  C. M. Fisher.  Pure sensory stroke and allied conditions. , 1982, Stroke.

[11]  K. Kalil.  Projections of the cerebellar and dorsal column nuclei upon the thalamus of the rhesus monkey , 1981, The Journal of comparative neurology.

[12]  D. Groothuis,et al.  The human thalamocortical sensory path in the internal capsule: Evidence from a small capsular hemorrhage causing a pure sensory stroke , 1977, Annals of neurology.

[13]  O. Reinmuth,et al.  Midbrain hemorrhage producing pure sensory stroke. , 1984, Archives of neurology.

[14]  C. Kase,et al.  Somatosensory evoked potentials in pure sensory stroke and related conditions. , 1985, Stroke.

[15]  E. Jones.  Functional subdivision and synaptic organization of the mammalian thalamus. , 1981, International review of physiology.