대한치매학회지 (Dementia and Neurocognitive Disorders)

대한치매학회 (Korean Dementia Association)
권호 표지

A Case Report of Three-Dimensional Fiber Tractography of Anterior Thalamic Radiation in a Capsular Genu Infarction

  • Hwang, Woo-Sub (Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Oh, Yun-A (Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Jang, Sung-Man (Department of Radiology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Lee, Jung-Hee (Department of Radiology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Chin, Ju-Hee (Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Suh, Mee-Kyung (Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Seo, Sung-Won (Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center)
  • 발행 : 2010.03.31
⟨ 이전 논문 다음 논문 ⟩

초록

Interruption of the anterior thalamic radiation (ATR) might explain cognitive impairment in an infarction of the genu of the internal capsule. However, a defect of the ATR in the genu infarction has received little attention. We report on a patient who developed cognitive impairment following the genu infarction. Diffusion tensor imaging revealed an interruption of the white matter fibers in the ATR. We suggested that cognitive impairments in the genu infarction were caused by a defect in the ATR.

키워드

참고문헌

  1. Papez JW. A proposed mechanism of emotion. Arch Neurol Psychiat 1937; 38: 725-34. https://doi.org/10.1001/archneurpsyc.1937.02260220069003
  2. Yakovlev PI. Motility, behavior, and the brain: stereodynamic organization and neural corrdinates of behavior. J Nerv Ment Dis 1948; 107: 313-35. https://doi.org/10.1097/00005053-194810740-00001
  3. Kooistra CA, Heilman KM. Memory loss from a subcortical white matter infarct. J Neurol Neurosurg Psychiatry 1988; 51: 866-9. https://doi.org/10.1136/jnnp.51.6.866
  4. Chukwudelunzu FE, Meschia JF, Graff-Radford NR, Lucas JA. Extensive metabolic and neuropsychological abnormalities associated with discrete infarction of the genu of the internal capsule. J Neurol Neurosurg Psychiatry 2001; 71: 658-62. https://doi.org/10.1136/jnnp.71.5.658
  5. Lai C, Okada Y, Sadoshima S, Saku Y, Kuwabara Y, Fujishima M. A case of left internal capsular infarction with auditory hallucination and peculiar amnesia and dysgraphia. No To Shinkei 1990; 42: 873-7.
  6. Madureira S, Guerreiro M, Ferro JM. A follow-up study of cognitive impairment due to inferior capsular genu infarction. J Neurol 1999; 246: 764-9. https://doi.org/10.1007/s004150050452
  7. Markowitsch HJ, von Cramon DY, Hofmann E, Sick CD, Kinzler P. Verbal memory deterioration after unilateral infarct of the internal capsule in an adolescent. Cortex 1990; 26: 597-609. https://doi.org/10.1016/S0010-9452(13)80309-7
  8. Moreaud O, Charnallet A, David D, Cinotti L, Pellat J. Frontal lobe syndrome after a left genu capsular infarction. Eur Neurol 1996; 36: 322-4. https://doi.org/10.1159/000117282
  9. Pantoni L, Basile AM, Romanelli M, Piccini C, Sarti C, Nencini P, et al. Abulia and cognitive impairment in two patients with capsular genu infarct. Acta Neurol Scand 2001; 104: 185-90. https://doi.org/10.1034/j.1600-0404.2001.00370.x
  10. Schnider A, Gutbrod K, Hess CW, Schroth G. Memory without context: amnesia with confabulations after infarction of the right capsular genu. J Neurol Neurosurg Psychiatry 1996; 61: 186-93. https://doi.org/10.1136/jnnp.61.2.186
  11. Terao Y, Bandou M, Nagura H, Yamanouchi H, Ishikawa T. Persistent amnestic syndrome due to infarction of the genu of the left internal capsule. Rinsho Shinkeigaku 1991; 31: 1002-6.
  12. Yamanaka K, Fukuyama H, Kimura J. Abulia from unilateral capsular genu infarction: report of two cases. J Neurol Sci 1996; 143: 181-4. https://doi.org/10.1016/S0022-510X(96)00201-8
  13. Mori S, Crain BJ, Chacko VP, van Zijl PC. Three-dimensional tracking of axonal projections in the brain by magnetic resonance imaging. Ann Neurol 1999; 45: 265-9. https://doi.org/10.1002/1531-8249(199902)45:2<265::AID-ANA21>3.0.CO;2-3
  14. Strub RL. Frontal lobe syndrome in a patient with bilateral globus pallidus lesions. Arch Neurol 1989; 46: 1024-7. https://doi.org/10.1001/archneur.1989.00520450096027
  15. Bhatia KP, Marsden CD. The behavioural and motor consequences of focal lesions of the basal ganglia in man. Brain 1994; 117: 859-76. https://doi.org/10.1093/brain/117.4.859
  16. Guberman A, Stuss D. The syndrome of bilateral paramedian thalamic infarction. Neurology 1983; 33: 540-6. https://doi.org/10.1212/WNL.33.5.540
  17. Tatemichi TK, Desmond DW, Prohovnik I, Cross DT, Gropen TI, Mohr JP, et al. Confusion and memory loss from capsular genu infarction: a thalamocortical disconnection syndrome? Neurology 1992; 42: 1966-79. https://doi.org/10.1212/WNL.42.10.1966