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The syndrome of posterior thalarnic hemorrhage

Departments of Neurology (Drs. Hirose, Kosoegawa, Saeki, Kitagawa, Oda, and Kanda) and Otorhinolaryngology (Dr. Matsuhira), Kanazawa Medical University, Ishikawa, Japan.

In six patients with CT evidence of posterior thalamic hemorrhage, we found the following signs: saccadic hypometria away from the lesion; defective pursuit toward the lesion with corresponding opticokinetic abnormalities; mild ipsilateral ptosis; ipsilateral miosis; unilateral sensory neglect; and sensorimotor hemiparesis. This distinct syndrome has a benign course and satisfactory recovery. It differs from the classic picture of thalamic hemorrhage, and can be called "the syndrome of posterior thalamic hemorrhage."

Address correspondence and reprint requests to Dr. Hirose, Department of Neurology, Kanazawa Medical University, Uchinada, Kaboku, Ishikawa Prefecture, Japan, 920-02.

Accepted for publication November 1, 1984.

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