Stroke & Vascular Disorders
Rostral brainstem and thalamic infarctions
Thalamic and midbrain infarcts are infrequent; however, both are associated with a large spectrum of clinical manifestations. Decreased level of consciousness, vertical gaze paresis, and contralateral hypoesthesia are the main clinical manifestations of paramedian thalamic infarcts. Oculomotor and supranuclear vertical gaze palsies are the most localizing manifestations of midbrain infarction. In general, the neurologic status improves over time.
Aug. 25, 2020