Unilateral thalamic stroke: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Unilateral thalamic stroke: clinical features. Hemisensory loss, Hemiparaesthesia, Numb chin syndrome. Fully referenced neurology checklist.

Sensory features

  • Hemisensory loss
  • Hemiparaesthesia
  • Numb chin syndrome
  • Isolated finger dysaesthesia
  • Isolated hemifacial numbness
  • Facio-brachio-crural sensory impairment
  • Cheiro-oral syndrome: contralateral hand and hemi-mouth sensory disturbance
  • Thalamic pain: it may be cramp-like
  • Flank allodynia

Pseudocortical sensory features

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Motor features

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Bulbar features

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Cognitive features

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Psychiatric features

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Ophthalmic features

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Movement disorders: major types

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Movement disorders: other types

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Other features

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References

  1. Griffin AS, Mariano R, Hauck SK, Hauck EF. Inferolateral thalamic ischemia secondary to PCA P2 perforator occlusion mimics MCA stroke syndrome. Neurosurg Rev 2020; 43:339-342. 
  2. Schmahmann JD. Vascular syndromes of the thalamus. Stroke 2003; 34:2264-2278. 
  3. Kumral E, Deveci EE, Çolak AY, Çağında AD, Erdoğan C. Multiple variant type thalamic infarcts: pure and combined types. Acta Neurol Scand 2015; 131:102-110.
  4. Paciaroni M, Bogousslavsky J. Pure sensory syndromes in thalamic stroke. Eur Neurol 1998; 39:211-217. 
  5. Rimmele F, Maschke H, Großmann A, Jürgens TP. A case report: numb Chin Syndrome due to thalamic infarction: a rare case. BMC Neurol 2019; 19:303.
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