Case Report: How May Ocular Alignment Guide the Topography of the Lesion

Abstract

A 58 years old pale patient of hypertension, with a history of left thalamic hemorrhagic stroke (2010), had a sudden onset and progressive evolution that began a few hours ago, characterized by right palpebral ptosis and diplopía. The condition was followed by left faciobrachiocrural paresis, difficulty to maintain the sitting or standing and sensory impairment. The patient was found with conditions, such as, Eye-opening upon request, Disoriented in time, Lack of verbal initiative, Central left facial palsy, Left brachiocrural paresis (4/5), Imposibility to maintain a seating or standing position and Bilateral Babinski. The symptomps can only be explained by a biliateral thalamic lesion, although unilateral lesions can occasionally cause similar symptoms.