Ideomotor Apraxia in Left Thalamic Hemorrhage: Discrepancy between Clinical Course and SPECT.

Abstract:

:We present a patient who developed severe ideomotor apraxia (IA) and subcortical aphasia after a hemorrhage involving the posterior part of the left thalamus and the posterior limb of the internal capsule. The cerebral blood flow (CBF) of the left hemisphere as measured by 99Tc-HM-PAO SPECT was initially diminished as compared to the right hemisphere. The apraxia and aphasia eventually resolved. Despite this clinical improvement CBF of the left hemisphere worsened. Our findings do not support the view that apraxia and aphasia following lesion of deep subcortical structures is due to cortical derangement induced by disruption of unspecific activating thalamo-cortical pathways. The results call for caution in the functional interpretation of perfusion deficits detected by SPECT.

journal_name

Behav Neurol

journal_title

Behavioural neurology

authors

Schnider A,Landis T,Rösler HR

doi

10.3233/BEN-1991-4102

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

15-24

issue

1

eissn

0953-4180

issn

1875-8584

pii

Y1G18326857921X6

journal_volume

4

pub_type

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