Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2021; 9(18): 4817-4822
Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4817
Rare coexistence of multiple manifestations secondary to thalamic hemorrhage: A case report
Qi-Wei Yu, Tian-Fen Ye, Wen-Jun Qian
Qi-Wei Yu, Tian-Fen Ye, Wen-Jun Qian, Department of Rehabilitation Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215008, Jiangsu Province, China
Author contributions: Yu QW reviewed the literature and contributed to data collection, analysis, and interpretation and drafting of the manuscript; Ye TF and Qian WJ contributed to data interpretation and critical revision of the manuscript for important intellectual content; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient and his wife for publication of this report and any accompanying images and videos.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Wei Yu, MM, Attending Doctor, Department of Rehabilitation Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 242 Guangji Road, the North District of Suzhou Municipal Hospital, Suzhou 215008, Jiangsu Province, China. 769481203@qq.com
Received: January 26, 2021
Peer-review started: January 26, 2021
First decision: February 25, 2021
Revised: February 26, 2021
Accepted: May 6, 2021
Article in press: May 6, 2021
Published online: June 26, 2021
Abstract
BACKGROUND

A growing body of literature indicates that the occurrence of thalamic lesions could lead to various dysfunctions, such as somatosensory disturbances, hemiparesis, language deficits, and movement disorders. However, clinical cases describing the coexistence of these types of manifestations have not been reported. Herein, we report a patient who exhibited these rare complications secondary to thalamic hemorrhage.

CASE SUMMARY

A 53-year-old right-handed man experienced sudden left hemiparesis, numbness of the left side of body, and language alterations due to an acute hemorrhage located in the right basal ganglia and thalamus 18 mo ago. Approximately 17 mo after the onset of stroke, he exhibited rare complications including dysphasia, kinetic tremor confined to the left calf, and mirror movement of the left arm which are unique and interesting, and a follow-up computed tomography scan revealed an old hemorrhagic lesion in the right thalamus and posterior limb of the internal capsule.

CONCLUSION

Hypophonia may be a recognizable clinical sign of thalamus lesions; thalamus injury could cause tremor confined to the lower extremity and mimicking extremity movements.

Keywords: Thalamic stroke, Dysphasia, Movement disorders, Case report

Core Tip: Clinical cases describing the coexistence of multiple manifestations secondary to thalamic damage have not been reported. We report a patient who exhibited rare complications secondary to thalamic hemorrhage. Especially, the manifestations including dysphasia, kinetic tremor confined to the left calf, and mirror movement of the left arm are unique and interesting. This case provides new insights into thalamus damage. Hypophonia may be a recognizable clinical sign of thalamus lesions, which could help with lesion localization; thalamus injury could cause tremor confined to the lower extremity and mimicking extremity movements.