Abstract：
:Bilateral paramedian thalamic infarctions are usually associated with impaired consciousness, oculomotor disturbances and neuropsychological changes. A 44-year-old healthy woman presented with amaurosis fugax of the right eye immediately after a Valsalva maneuver. Neurological examination, in particular visual acuity, vigilance and ocular movements, was normal. Blood pressure, ECG and angio-CT of the neck and head vessels were normal, but MRI/DWI and T2 sequences showed recent bi-thalamic ischemic lesions in the paramedian territories. Doppler sonography and transesophageal echocardiography showed a large right-to-left shunt due to an atrial communication, with septum aneurysm. Twenty-four-hours cardiac monitoring was normal but prior to an eventual closure of the cardiac defect she underwent an ambulatory 7-day ECG monitoring which revealed several paroxystic short lasting passages into atrial fibrillation, unnoticed by the patient. The interest in this case is threefold: (1) bilateral paramedian thalamic infarction which usually presents with a devastating clinical picture may occur clinically silent; (2) monocular amaurosis fugax which is usually associated with ipsilateral carotid disease may be the consequence of cardiac embolism, and (3) atrial fibrillation is never completely ruled out, here it was caught only in a 7-days ambulatory R-test, and consequently prevented closure of a possibly asymptomatic patent foramen ovale.
journal_name
J Neuroljournal_title
Journal of neurologyauthors
Emond H,Landis T,Perren Fdoi
10.1007/s00415-009-5030-9subject
Has Abstractpub_date
2009-06-01 00:00:00pages
1007-8issue
6eissn
0340-5354issn
1432-1459journal_volume
256pub_type
信件abstract：:Peduncular hallucinosis (PH) is a syndrome of hallucinations and brainstem symptoms which has only been described in single case reports. A detailed analysis of five patients was undertaken to investigate the clincial characteristics, hallucinations and behavioural abnormalities of PH in greater detail. Frequent clini...
journal_title：Journal of neurology
pub_type： 杂志文章
doi：10.1007/s00415-0060-0254-4
更新日期：2006-12-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2014-12-01 00:00:00
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journal_title：Journal of neurology
pub_type： 杂志文章
doi：10.1007/BF00867591
更新日期：1992-07-01 00:00:00
abstract：:Unlike most neurodegenerative disorders, individuals at risk from Huntington's disease can be identified prior to the onset of clinical signs of the disease by virtue of it being an autosomal dominant condition. This provides the hypothetical opportunity to delay disease onset and/or slow down the progression of the d...
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pub_type： 杂志文章,评审
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更新日期：2015-08-01 00:00:00
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pub_type： 杂志文章
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更新日期：2007-08-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1007/s00415-016-8390-y
更新日期：2017-03-01 00:00:00
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
doi：10.1007/s00415-018-8939-z
更新日期：2018-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00415-019-09265-5
更新日期：2019-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00415-020-09782-8
更新日期：2020-07-01 00:00:00
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journal_title：Journal of neurology
pub_type： 杂志文章,评审
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pub_type： 杂志文章
doi：10.1007/s00415-014-7578-2
更新日期：2015-02-01 00:00:00
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journal_title：Journal of neurology
pub_type： 杂志文章
doi：10.1007/BF00314366
更新日期：1975-08-01 00:00:00
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journal_title：Journal of neurology
pub_type： 杂志文章
doi：10.1007/BF00328507
更新日期：1989-12-01 00:00:00
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pub_type： 历史文章,杂志文章
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更新日期：2018-02-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：1999-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/BF00314248
更新日期：1988-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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doi：10.1007/s00415-019-09603-7
更新日期：2020-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00415-019-09372-3
更新日期：2019-08-01 00:00:00
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journal_title：Journal of neurology
pub_type： 杂志文章
doi：10.1007/s00415-005-0725-z
更新日期：2005-06-01 00:00:00
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journal_title：Journal of neurology
pub_type： 杂志文章
doi：10.1007/BF00878524
更新日期：1996-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-08-20 00:00:00
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pub_type： 临床试验,杂志文章,多中心研究
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更新日期：2002-08-01 00:00:00
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journal_title：Journal of neurology
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更新日期：2005-12-01 00:00:00
