| Hemiplegia vegetativa alterna (ipsilateral Horner's syndrome and contralateral hemihyperhidrosis) following proximal posterior cerebral artery occlusion. | |
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MedLine Citation:
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PMID: 7709421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Posterior cerebral artery (PCA) occlusive disease usually produces homonymous visual field defects, hemisensory loss, and neuropsychological deficits. Conversely, the combination of hemiparesis, Horner's syndrome, and contralateral hemihyperhidrosis has never been reported before. CASE DESCRIPTION: A patient with infarction in the superficial and deep territories of the right PCA presented with a unique clinical picture, which included contralateral hemiparesis, hemihyperhidrosis, and ipsilateral Horner's syndrome. Magnetic resonance imaging disclosed infarcts in the right anterolateral midbrain, ventroposterolateral thalamic-subthalamic area, and temporo-occipital lobes. CONCLUSIONS: The alternating vegetative syndrome (hemiplegia vegetativa alterna) observed in this patient supports the hypothesis of the existence of an uncrossed excitatory and a crossed inhibitory hypothalamospinal sympathetic pathway. |
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Authors:
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C Bassetti; I N Staikov |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 26 ISSN: 0039-2499 ISO Abbreviation: Stroke Publication Date: 1995 Apr |
Date Detail:
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Created Date: 1995-05-09 Completed Date: 1995-05-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 702-4 Citation Subset: IM |
Affiliation:
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Department of Neurology, University Hospital, Inselspital, Bern, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebral Arterial Diseases / complications*, pathology Cerebral Infarction / complications*, etiology Hemiplegia / etiology* Horner Syndrome / etiology* Humans Hyperhidrosis / etiology* Magnetic Resonance Imaging Male |
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