Pure sensory stroke due to midbrain haemorrhage limited to the spinothalamic pathway.

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Pure sensory stroke due to midbrain haemorrhage limited to the spinothalamic pathway.

A 62 year old man suddenly presented with a pure left sensory deficit involving only pain and temperature sensations. CT scan and MRI showed a small haemorrhage in the dorsolateral part of the right midbrain. This suggested a lesion limited to the right dorsal spinothalamic tract.

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In 1965, Fisher 1 described the clinical syndrome of pure sensory stroke (PSS), consisting of a persistent or transient hemisensory disturbance. He concluded that the responsible lesion was a lacunar infarct in the posteroventral nucleus of the contralateral thaJamus. Only two additional patients have been studied pathologically, corroborating this hypothesis. Since then, lesions involving the ...

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Isolated dorsal midbrain infarct: an uncommon cause of pure sensory stroke.

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ژورنال

عنوان ژورنال: Journal of Neurology, Neurosurgery & Psychiatry

سال: 1989

ISSN: 0022-3050

DOI: 10.1136/jnnp.52.12.1427