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Abrupt onset of disturbed vigilance, bilateral third nerve palsy and masturbating behaviour: a rare presentation of stroke

By Karl Mondon, Isabelle Bonnaud, Séverine Debiais, Paul Brunault, Denis Saudeau, Bertrand de Toffol and Alain Autret


The clinical presentation of stroke usually includes sensory–motor impairment, cranial nerve palsies, or cognitive dysfunction. Disorders in behaviour are less frequently seen. The case of a patient with a very disturbing presentation, which included a disturbance in vigilance, bilateral third nerve palsy and masturbating behaviour, is presented. The topography of the lesions and its implications on the deficits observed are discussed

Topics: Emergency Casebook
Publisher: BMJ Group
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Provided by: PubMed Central
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