Thalamic syndrome

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Classification according to ICD-10
G93.8 Other specified diseases of the brain
ICD-10 online (WHO version 2019)

In neurology, thalamus syndrome is a symptom complex ( syndrome ) that arises from damage to the thalamus in the brain .

history

The thalamic syndrome was described in 1906 by Joseph Jules Dejerine and Gustave Roussy as an irritation and failure syndrome in clinical-pathoanatomical case reports after mass bleeding or infarction of the ventroposterolateral thalamus.

Symptoms

When Dejerine-Roussy syndrome are Central pain (also thalamic called) and neurological deficits before.

The following constellation of symptoms is typical for the posterolateral thalamic syndrome:

  • a mostly temporary slight hemiparesis (paralysis of one side of the body),
  • persistent Hemihypästhesie (general reduction of touch and pressure sensitive), often in a hyperesthesia (hypersensitivity to tactile stimuli) temporarily, always with impaired proprioception ,
  • a mild hemiataxia (ataxia of one half of the body, especially of the limbs) as well as a more or less complete astereognosia (tactile agnosia).

Homonymous hemianopsia can also occur. Some reflexes are heightened. The dystonic movement disorder mostly relates to the contraleral limbs, usually the arm or fingers , which are flexed in the metatarsophalangeal joints and stretched in the other joints (thalamic hand).

The pain often occurs with a long delay (a few months) and then becomes almost explosive.

causes

The cause is typically an infarction of the arteria thalamostriata , thalamogeniculata , perforans thalami anterior or perforans thalami posterior . Depending on the different supply areas, different symptoms can be assigned to each.

Individual evidence

  1. ↑ Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 868
  2. ↑ a b c Thalamic syndrome and other central pain syndromes. In: D. Rosenow, V. Tronnier, H. Göbel: Neurogenic pain: Management of diagnostics and therapy . 1st edition. Springer, Berlin / Heidelberg 2004, ISBN 3-540-21482-8 , pp. 192ff.
  3. ↑ Ingrid Gralow, Ingo W. Husstedt, Hans-Werner Bothe: Interdisciplinary pain therapy . 1st edition. Schattauer, FK Verlag, 2002, ISBN 3-7945-2118-8 , p. 209.
  4. ^ Klaus Poeck, Werner Hacke: Neurology: For study, clinic and practice . 12., act. and exp. Edition. Springer, Berlin / Heidelberg 2006, ISBN 3-540-29997-1 , p. 63.
  5. ↑ Friedrich Strian: pain. Causes, symptoms, therapies. 1st edition. CH Beck, 1996, ISBN 3-406-40336-0 , pp. 51/52.

literature

  • Erich Heinze: The current state of our knowledge about the thalamic syndrome . Buchdr. to Basler Report House AG., 1942.
  • Thea Schönfelder: On the question of the thalamic syndrome in brain tumors . 1951.
  • Thalamic Syndrome and Other Central Pain Syndromes. In: D. Rosenow, V. Tronnier, H. Göbel: Neurogenic pain: Management of diagnostics and therapy . 1st edition. Springer, Berlin / Heidelberg 2004, ISBN 3-540-21482-8 , pp. 192ff.