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

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...

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Bibliographic Details
Published in:Emergency medicine journal : EMJ 2007-08, Vol.24 (8), p.600-601
Main Authors: Mondon, Karl, Bonnaud, Isabelle, Debiais, Séverine, Brunault, Paul, Saudeau, Denis, de Toffol, Bertrand, Autret, Alain
Format: Article
Language:English
Subjects:
Arousal
Brain damage
Brain Infarction - complications
Brain Infarction - diagnosis
Case reports
Cognitive ability
Coma
Emergency Casebook
Female
Humans
Magnetic resonance imaging
Masturbation
Mesencephalon - pathology
Middle Aged
Neurological disorders
Oculomotor Nerve Diseases - etiology
Sexual behavior
Sexual Dysfunction, Physiological - etiology
Stereotypes
Stroke
Thalamus - pathology
Veins & arteries
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Summary: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.
ISSN:1472-0205
1472-0213
DOI:10.1136/emj.2007.047662