{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T12:42:34Z","timestamp":1708605754907},"reference-count":17,"publisher":"Scientific Scholar","issue":"02","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":2369,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>A 42-year-old young lady presented with acute onset of dizziness, drooping of left eye with binocular diplopia and inability to walk unassisted. She had past history of uncontrolled diabetes mellitus and hypertension. On examination, she had left fascicular type of third nerve palsy, vertical one and half syndrome (VOHS), left internuclear ophthalmoplegia and skew deviation with ipsilesional hypertropia. She also had thalamic astasia and right unilateral asterixis. Her MRI revealed T2 and Flair hyper intense signal changes with restricted diffusion in the left thalamus, subthalamus and left midbrain. MR Angiography was normal. Thalamic\u2011subthalamic paramedian territory infarct is relatively uncommon. It can present with oculomotor abnormalities including vertical one and half syndrome, skew deviation, thalamic astasia and asterixis. This case is reported for the rarity of the presenting clinical findings in unilateral thalamo\u2011mesencephalic infarcts.<\/jats:p>","DOI":"10.4103\/0976-3147.112775","type":"journal-article","created":{"date-parts":[[2013,5,31]],"date-time":"2013-05-31T08:39:14Z","timestamp":1369989554000},"page":"220-223","source":"Crossref","is-referenced-by-count":5,"title":["Unilateral asterixis, thalamic astasia and vertical one and half syndrome in a unilateral posterior thalamo\u2011subthalamic paramedian infarct: An interesting case report"],"prefix":"10.25259","volume":"04","author":[{"given":"Subasree","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veera Rajkumar","family":"Narayanaswamy","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, New Vikram Hospital, Madurai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.112775-1","first-page":"434","volume-title":"The syndrome of unilateral tuberothalamic artery territory infarction","author":"Bogousslavsky","year":"1986","journal-title":"Stroke"},{"key":"key-10.4103\/0976-3147.112775-2","first-page":"319","volume-title":"Nuclear, internuclear, and supranuclear ocular motor disorders","author":"Pierrot-Deseilligny","year":"2011","journal-title":"Handb Clin Neurol"},{"key":"key-10.4103\/0976-3147.112775-3","first-page":"173","volume-title":"Unilateral midbrain infarction causing upward and downward gaze palsy","author":"Alemdar","year":"2006","journal-title":"J Neuro Ophthalmol"},{"key":"key-10.4103\/0976-3147.112775-4","first-page":"546","volume-title":"Oculomotor syndromes resulting from mesencephalic lesions in man","author":"Bogousslavsky","year":"1989","journal-title":"Rev Neurol"},{"key":"key-10.4103\/0976-3147.112775-5","first-page":"92","volume-title":"Case of unilateral thalamo-mesencephalic infarction with enlargement to bilateral vertical gaze palsy due to vertical one-and-a-half syndrome","author":"Suzuki","year":"2008","journal-title":"Brain Nerve"},{"key":"key-10.4103\/0976-3147.112775-6","first-page":"43","volume-title":"Up gaze palsy and monocular paresis of downward gaze from ipsilateral thalamo-mesencephalic infarction: A vertical \"one-and-a-half\" syndrome","author":"Bogousslavsky","year":"1984","journal-title":"J Neurol"},{"key":"key-10.4103\/0976-3147.112775-7","first-page":"180","volume-title":"Vertical one-and-a-half syndrome with contralesional pseudo-abducens palsy in a patient with thalamo mesencephalic stroke","author":"Deleu","year":"2012","journal-title":"J Neurol Sci"},{"key":"key-10.4103\/0976-3147.112775-8","first-page":"546","volume-title":"Vertical gaze ophthalmoplegia from infarction in the area of the posterior thalamo-subthalamic paramedian artery","author":"Wall","year":"1986","journal-title":"Stroke"},{"key":"key-10.4103\/0976-3147.112775-9","first-page":"1615","volume-title":"Assessment of paramedian thalamic infarcts: MR imaging, clinical features and prognosis","author":"Weidauer","year":"2004","journal-title":"Eur Radiol"},{"key":"key-10.4103\/0976-3147.112775-10","first-page":"1229","volume-title":"The spectrum of vertical gaze palsy following unilateral brainstem stroke","author":"Hommel","year":"1991","journal-title":"Neurology"},{"key":"key-10.4103\/0976-3147.112775-11","first-page":"596","volume-title":"Thalamic astasia: Inability to stand after unilateral thalamic lesions","author":"Masdeu","year":"1988","journal-title":"Ann Neurol"},{"key":"key-10.4103\/0976-3147.112775-12","doi-asserted-by":"crossref","unstructured":"Solomon DH, Barohn RJ, Bazan C, Grissom J. 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