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J. Lapresle, MD
Centre Hospitalier de Bicêtre 78, rue de Général Leclerc 94270 Le Kremlin Bicêtre, France

Arch Neurol. 1978;35(8):549.

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To the Editor.—

I read with interest the article titled "Sensorimotor Stroke Due to Thalamocapsular Ischemia" published in the December issue of the ARCHIVES (34:739-741, 1977). In this article the authors state that their case appears to be unique.

In 1960, the now late Garcin and I reported a rather similar case.¹ A thalamic lacuna was responsible for a chiro-oral sensory disorder as previously described,² associated at the beginning with an ipsilateral motor deficit of fingers. Postmortem examination, six years after the onset of the symptoms, failed to disclose any substantial lesion in the internal capsule. However, we postulated that there is a transitory involvement of this structure that is due to the vicinity of the thalamic lesion. The slight demyelination of the internal capsule observed by Mohr and associates, in which case the autopsy was performed three months after the stroke, would be in favor of this . . . [Full Text PDF of this Article]

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