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

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Cucchiara María Camila
Zalazar Guillermo
Bernaba Elisabet
Laura Ortube
Sandra Barbosa
Sergio Carmona


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.

Ocular alignment, HINTS, thalamic lesion, gait disturbance

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How to Cite
Camila, C., Guillermo, Z., Elisabet, B., Ortube, L., Barbosa, S., & Carmona, S. (2019). Case Report: How May Ocular Alignment Guide the Topography of the Lesion. International Journal of Medical and Pharmaceutical Case Reports, 11(4), 1-6.
Case Report