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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A case of superficial hemisensory dysfunction due to operculo-insular infarction: Radiological depiction of thalamocortical projections to the secondary somatosensory cortex
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A case of superficial hemisensory dysfunction due to operculo-insular infarction: Radiological depiction of thalamocortical projections to the secondary somatosensory cortex

机译:一例因小脑岛梗塞引起的表面半感觉功能障碍:丘脑皮层投射至次要体感皮层的影像学表现

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摘要

A 64-year-old obese man developed hypesthesia in the left arm and leg. Neurological examination revealed decreased senses of pain, touch, and temperature in the left face, arm, trunk, and leg. Remaining functions were normal. Electrocardiogram showed atrial fibrillation. Somatosensory-evoked potentials using the stimulation in the median nerve were normal on both sides. Brain magnetic resonance imaging revealed acute infarction in the right parietal operculum and insula. There were no pathognomonic lesions in the postcentral gyrus, the thalamus, or the brain stem. Cardioembolic operculo-insular infarction was diagnosed. Diffusion tensor tractography map displayed the thalamocortical projections to the primary and the secondary somatosensory cortex (S2). These radiological findings supported that the operculo-insular lesion could disrupt the thalamo-S2 pathway. Thus, the thalamocortical disconnection between the thalamus to the S2 could cause superficial hemisensory dysfunction in the present patient.
机译:一名64岁的肥胖男子的左臂和右腿发育异常。神经科检查发现左脸,手臂,躯干和腿部的疼痛,触碰和温度感降低。其余功能正常。心电图显示房颤。在正中神经刺激下的体感诱发电位在两侧均正常。脑磁共振成像显示右顶盖和岛顶急性梗死。在中央后回,丘脑或脑干中没有病理性病变。诊断出心脏栓塞性小丘脑梗塞。扩散张量束缚术图显示了丘脑皮层投影到主要和次要的体感皮层(S2)。这些放射学发现支持腹-沟病变可破坏丘脑-S2途径。因此,丘脑与S2之间的丘脑皮质断开可能导致本患者的浅表性半感觉功能障碍。

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