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Wake-up sleepyhead: Unilateral diencephalic stroke presenting with excessive sleepiness

By R Pradeep, Dhananjay Gupta, Anish Mehta, R Srinivasa, Mahendra Javali and P T Acharya


Altered sleep architecture and stroke share a reciprocal relationship. More than half of the stroke patients display sleep abnormalities including hypersomnia, insomnia, parasomnia, periodic limb movements, or sleep-disordered breathing. Conversely, one of the major causes of severe organic hypersomnia is acute brainstem strokes, involving thalamic infarctions, which may be reversible over 6–12 months. Here, we report a patient with increased lethargy and drowsiness who was diagnosed to have a right thalamic and hypothalamic ischemic stroke

Topics: Drowsiness with stroke, paramedian thalamic stroke, thalamic infarction, thalamic stroke, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Publisher: Wolters Kluwer Medknow Publications
Year: 2019
DOI identifier: 10.4103/jnrp.jnrp_258_18
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