Abstract

ABUABARA FRANCO, EMILIO et al. Spontaneous Left Talamic Hemorrhage: Illustrative Case. Salud, Barranquilla [online]. 2021, vol.37, n.1, pp.230-239.  Epub Feb 28, 2022. ISSN 0120-5552.  https://doi.org/10.14482/sun.37.1.616.8.

Thalamic hemorrhage belongs to the group of intracerebral hemorrhages of non-traumatic or surgical etiology. It is relatively rare and has a prevalence of 6-15% of cases. The thalamus is an anatomical structure where multiple neural pathways converge; therefore, its clinical manifestations are not fully described. Despite this, it is known that its most frequent clinical presentation is associated with the Dejerine-Roussy sensory syndrome, characterized by intense neuropathic pain, allodynia contralateral to the lesion, hemiparesis and hemiataxia. Thalamic hemorrhage can also present with alterations in memory, sleep, emotions, and the processing of sensitive information. We present a case of spontaneous left thalamic hemorrhage in a 71-year-old patient who presented with changes in his behavior, bradypsy-chia, and anterograde amnesia, with subsequent complete recovery of his cognitive and psychological state before 8 days and with normal findings in the panangiography.

Keywords : spontaneous intracerebral hemorrhage; stroke; thalamus; Computed axial tomography; nuclear magnetic resonance.

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