Abstract
The clinical syndrome of a 65-year-old patient with a slit-shaped right-sided meso-diencephalic lesion was analysed. A cerebellar syndrome with limb-kinetic ataxia, intention tremor and hypotonicity in all extremities as well as ataxic dysarthria was found. The disruption of the two cerebello-(rubro)-thalamic pathways probably explained the signs of bilateral cerebellar dysfunction. The uncrossed ascending limb of the right, and the crossed one of the left brachium conjunctivum may have been damaged by the unilateral lesion extending between caudal midbrain and dorsal thalamus.
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- Brown J. R., Darley F. L., Aronson A. E. Ataxic dysarhria. Int J Neurol. 1970;7(2):302–318. [PubMed] [Google Scholar]
- CHAMBERS W. W., SPRAGUE J. M. Functional localization in the cerebellum. I. Organization in longitudinal cortico-nuclear zones and their contribution to the control of posture, both extrapyramidal and pyramidal. J Comp Neurol. 1955 Aug;103(1):105–129. doi: 10.1002/cne.901030107. [DOI] [PubMed] [Google Scholar]
- Kent R. D., Netsell R., Abbs J. H. Acoustic characteristics of dysarthria associated with cerebellar disease. J Speech Hear Res. 1979 Sep;22(3):627–648. doi: 10.1044/jshr.2203.627. [DOI] [PubMed] [Google Scholar]
- Kent R., Netsell R. A case study of an ataxic dysarthric: cineradiographic and spectrographic observations. J Speech Hear Disord. 1975 Feb;40(1):115–134. doi: 10.1044/jshd.4001.115. [DOI] [PubMed] [Google Scholar]
- Lechtenberg R., Gilman S. Speech disorders in cerebellar disease. Ann Neurol. 1978 Apr;3(4):285–290. doi: 10.1002/ana.410030402. [DOI] [PubMed] [Google Scholar]