What is a Thalamic Stroke? - Oren Zarif - Thalamic Stroke
A thalamic stroke is a type of stroke that disrupts important connections and fibres in the brain. The resulting damage can lead to acute movement disorders, as well as delayed movements due to cerebral plasticity. The re-emergence of the hand and recovery of coordinated movements are common effects of thalamic infarction. The thalamus can be damaged by a traumatic brain injury and an ischemic stroke, and patients may experience both acute and delayed movement disorders.
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The infarct territory of thalamic infarction is often related to the type of cerebral artery that supplied the region. In this study, the Paramedian artery, which arises from the P1 Cerebral Posterior artery, supplied several thalamic nuclei. It was identified as a hyperintense lesion on T1 sequences and FLAIR images. The patient had a history of confabulation and confusion and was discharged home after receiving treatment.
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While the extent of the thalamic lesions is unknown, patients with these strokes often experience sensory loss and hemiparesis. These patients may also experience pain syndrome after a thalamic lesion. Occasionally, lesions will extend into the anterior pulvinar nucleus, but these are rare. Most cases of thalamic stroke involve lesion in the inferolateral artery.
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The thalamus serves many important functions in the brain. It mediates general cortical alerting responses. It processes sensory information and relays it to the cortex. A thalamic stroke may involve an individual in only one area of the brain or may affect several structures. The degree of neurological impairment is very varied and can mimic several conditions. If left untreated, thalamic stroke can result in permanent disability. In addition to the symptoms, this condition is often a result of a previous brain injury.
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A thalamic stroke can also affect the right hemisphere. Lesions in the left hemisphere affect language function, including the ability to produce verbal output. These patients also experience impaired comprehension and fluency. Some patients will exhibit aphasia or hypophonic speech. They may also exhibit some cognitive problems, including executive dysfunction. In some cases, the damage may even lead to depression. Despite the potential for thalamic stroke, it should never be underestimated.
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Most thalamic strokes are hemorrhagic, meaning that the blood vessels are damaged. In other cases, a thalamic stroke can be ischemic, but despite the widespread use of neuroimaging for assessing strokes, it is rarely diagnosed because the symptoms are often left-sided. In these cases, doctors may even take blood samples for testing. So, what do we know about a thalamic stroke?
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Although the symptomatic symptoms of thalamic pain after a thalamic stroke are often mild, the symptoms can be debilitating. There are also some risk factors for thalamic pain, such as MRI lesions in the anterior pulvinar region and altered spinothalamic transmission. Identification of individuals at risk will help clinicians identify these patients and initiate treatment. This will allow the pain to be controlled early.
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The most common thalamic infarctions involve the anterior pulvinar nucleus. Anterior pulvinar nucleus lesions were associated with 87% of patients with thalamic pain. Although this association is new, it is important because patients suffering from this type of stroke are at high risk of developing thalamic pain. So, if you suffer from thalamic pain, it is crucial to consult with a thalamic stroke expert.
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The combination of anatomical and functional analysis is also effective in identifying patients at risk of developing thalamic pain. In this study, we combined quantitative sensory evaluation with functional imaging of the spine and thalamus. Interestingly, these results were similar in both thalamic pain free patients. In addition, we demonstrated that these techniques are easily replicated. In addition, the study revealed that thalamic pain was associated with STT lesions and MRI thresholds. In addition to these findings, the results from the joint analysis were superior to individual analyses.
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