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J Neurol Neurosurg Psychiatry 1999;66:633-635 doi:10.1136/jnnp.66.5.633
  • Lesson of the month

Bilateral enhancing thalamic lesions in a 10 year old boy: case report

  1. William C Oliveroa,
  2. Praveen Deshmukha,
  3. Meena Gujratib
  1. aDepartment of Neurological Surgery and Pediatrics, bDepartment of Pathology and Neuropathology, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA
  1. 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

Abstract

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.

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