Relapsing Depression in Paramedian Thalamic Infarctions

Depression has recently been associated with lesions in the CNS, particularly with large infarctions in the cerebral hemispheres. We report a patient in whom two episodes of acute depression were related to relapsing paramedian thalamic infarctions, which were accompanied by additional transient mil...

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Bibliographic Details
Main Authors: R. W. Baumgartner, T. Landis, M. Regard
Format: Article
Language:English
Published: Wiley 1992-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-1992-5210
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Summary:Depression has recently been associated with lesions in the CNS, particularly with large infarctions in the cerebral hemispheres. We report a patient in whom two episodes of acute depression were related to relapsing paramedian thalamic infarctions, which were accompanied by additional transient mild neuropsychological deficits, hypersomnia and a discrete sensory disturbance of the left face. Thalamic infarctions have been shown to mimic a variety of higher functional deficits, such as aphasias, apraxias and attentional disorders, traditionally associated with hemispheric strokes. We conjecture that the paramedian thalamic infarctions observed in our patient have in a similar manner been responsible for the transient depression.
ISSN:0953-4180
1875-8584