Unusual clinical and topographical midbrain stroke revealed by pure sensory disturbance.
Fiche publication
Date publication
octobre 2021
Journal
Revue neurologique
Auteurs
Membres identifiés du Cancéropôle Est :
Pr MOULIN Thierry
Tous les auteurs :
Petit M, Medeiros De Bustos E, Moulin T, Tatu L, Vuillier F
Lien Pubmed
Résumé
We describe a rare midbrain stroke presenting with predominantly sensory symptoms. A 71-year-old woman was hospitalized due to the recurrence of faciobrachial sensory loss. Magnetic resonance imaging showed an infarct involving the right side of the middle portion of midbrain at the level of the inferior colliculus. In our case we tried to make some clinico-anatomical correlations. The main anatomical structures involved were the medial lemniscal tract, the ventral part of the spinothalamic tract and the trigeminothalamic tract. The location of the stroke would suggest there are overlaps between arterial territories of the midbrain. Clinicians should look for midbrain infarcts in cases of pure sensory stroke.
Mots clés
Medial lemniscal tract, Midbrain infarct, Sensory stroke, Spinothalamic tract, Vascular territories
Référence
Rev Neurol (Paris). 2021 Oct;177(8):969-971