Lesson of the month
Bilateral enhancing thalamic lesions in a 10 year old boy: case
report
a Department of
Neurological Surgery and Pediatrics, b Department of Pathology and
Neuropathology, University of Illinois College of Medicine at Peoria,
Peoria, Illinois, USA
Correspondence to: Dr W C Olivero, Department of Neurosurgery, University of Illinois College of Medicine at Peoria, PO Box 1649 Peoria, IL 61656, USA. Telephone 001 309 655 2700; fax 001 309 655 7696.
Received 21 September
1998;
Accepted 30 October 1998
A young boy presented with monoparesis of the left arm. MRI
disclosed bilateral enhancing thalamic lesions. Biopsy results and
subsequent clinical history were most compatible with postinfectious or
acute disseminated encephalomyelitis. This represents one of the first
cases of acute disseminated encephalomyelitis affecting the thalami,
established by biopsy. This uncommon disease entity is reviewed and how
it may affect the deep grey matter is described.
Keywords: postinfectious encephalomyelitis
© 1999 by Journal of Neurology, Neurosurgery, and Psychiatry
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