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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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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author R. W. Baumgartner
T. Landis
M. Regard
author_facet R. W. Baumgartner
T. Landis
M. Regard
author_sort R. W. Baumgartner
collection DOAJ
description 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.
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spelling doaj-art-51f7155e7d38431bae5c0d17e5d7900d2025-02-03T05:54:24ZengWileyBehavioural Neurology0953-41801875-85841992-01-015212913210.3233/BEN-1992-5210Relapsing Depression in Paramedian Thalamic InfarctionsR. W. Baumgartner0T. Landis1M. Regard2Department of Neurology, University Hospital, Zürich, SwitzerlandDepartment of Neurology, University Hospital, Zürich, SwitzerlandDepartment of Neurology, University Hospital, Zürich, SwitzerlandDepression 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.http://dx.doi.org/10.3233/BEN-1992-5210
spellingShingle R. W. Baumgartner
T. Landis
M. Regard
Relapsing Depression in Paramedian Thalamic Infarctions
Behavioural Neurology
title Relapsing Depression in Paramedian Thalamic Infarctions
title_full Relapsing Depression in Paramedian Thalamic Infarctions
title_fullStr Relapsing Depression in Paramedian Thalamic Infarctions
title_full_unstemmed Relapsing Depression in Paramedian Thalamic Infarctions
title_short Relapsing Depression in Paramedian Thalamic Infarctions
title_sort relapsing depression in paramedian thalamic infarctions
url http://dx.doi.org/10.3233/BEN-1992-5210
work_keys_str_mv AT rwbaumgartner relapsingdepressioninparamedianthalamicinfarctions
AT tlandis relapsingdepressioninparamedianthalamicinfarctions
AT mregard relapsingdepressioninparamedianthalamicinfarctions