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https://hdl.handle.net/11499/6963
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DC Field | Value | Language |
---|---|---|
dc.contributor.author | Degirmenci, Eylem | - |
dc.contributor.author | Bir, Levent Sinan | - |
dc.contributor.author | Öncel, Çağatay | - |
dc.date.accessioned | 2019-08-16T12:13:36Z | - |
dc.date.available | 2019-08-16T12:13:36Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 1300-1817 | - |
dc.identifier.uri | https://hdl.handle.net/11499/6963 | - |
dc.description.abstract | Thalamic and brainstem strokes can cause organic hypersomnia. Paramedian thalamus is believed to play an important role in the regulation of sleep, and disturbances of sleep regulation are known to occur in paramedian thalamic stroke (PTS). In patients with PTS, slight sleepiness is reported with unilateral and limited lesions. In this paper we report on a patient presenting with severe hypersomnia who has a limited, unilateral thalamodiencephalic ischemic lesion on magnetic resonance imaging (MRI). A 54 year-old man referred to our hospital with the complaint of excessive day time sleepiness. His cranial MRI revealed a unilateral ischaemic lesion beginning at the level of left thalamus and extending to nucleus Ruber and Edinger Westpall. His total day time sleep was about 23-24 hours in the first week. He had been put on dopamine agonist therapy (bromocriptine 2.5mg/day up to dose 7.5mg/day). During this medication his total day time sleep decreased gradually and after two months he returned to his normal vigilance. Lesions affecting thalamus and mesencephalic or pontine tegmental reticular formation are a cause of hypersomnia but clinical presentation and degree of hypersomnia can be various due to the affected region of the brain. We think that regulation of sleep and wakefulness by different brain structures are still elusive and new case reports and clinical trials would be helpful about clarification of this condition. | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Journal of Neurological Sciences | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Hypersomnia | en_US |
dc.subject | MRI | en_US |
dc.subject | Unilateral thalamodiencephalic ischemic lesion | en_US |
dc.subject | anticoagulant agent | en_US |
dc.subject | bromocriptine | en_US |
dc.subject | dopamine receptor stimulating agent | en_US |
dc.subject | adult | en_US |
dc.subject | article | en_US |
dc.subject | Babinski reflex | en_US |
dc.subject | brain ischemia | en_US |
dc.subject | case report | en_US |
dc.subject | clinical feature | en_US |
dc.subject | daytime somnolence | en_US |
dc.subject | disease severity | en_US |
dc.subject | drowsiness | en_US |
dc.subject | drug response | en_US |
dc.subject | dysmetria | en_US |
dc.subject | electroencephalogram | en_US |
dc.subject | follow up | en_US |
dc.subject | gaze paralysis | en_US |
dc.subject | hemiparesis | en_US |
dc.subject | human | en_US |
dc.subject | hypersomnia | en_US |
dc.subject | male | en_US |
dc.subject | muscle strength | en_US |
dc.subject | nuclear magnetic resonance imaging | en_US |
dc.subject | ophthalmoplegia | en_US |
dc.subject | red nucleus | en_US |
dc.subject | sleep time | en_US |
dc.subject | thalamodiencephalic syndrome | en_US |
dc.subject | thalamus | en_US |
dc.title | Unilateral thalamodiencephalic syndrome presenting with severe hypersomnia | en_US |
dc.type | Article | en_US |
dc.identifier.volume | 25 | en_US |
dc.identifier.issue | 3 | en_US |
dc.identifier.startpage | 191 | en_US |
dc.identifier.endpage | 194 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.scopus | 2-s2.0-69749099228 | en_US |
dc.identifier.trdizinid | 83714 | en_US |
dc.identifier.wos | WOS:000259840600010 | en_US |
dc.identifier.scopusquality | Q2 | - |
dc.owner | Pamukkale University | - |
item.languageiso639-1 | en | - |
item.openairetype | Article | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.dept | 14.02. Internal Medicine | - |
crisitem.author.dept | 14.02. Internal Medicine | - |
crisitem.author.dept | 14.02. Internal Medicine | - |
Appears in Collections: | Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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