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December 1987

Telodiencephalic Ischemic Syndrome

Author Affiliations

Krankenhaus Am Urban Department of Neurology Dieffenbachstrasse 1 1000 West Berlin 61, West Germany

Arch Neurol. 1987;44(12):1218-1219. doi:10.1001/archneur.1987.00520240004001

To the Editor.  —In the February 1986 Archives,1 Stone et al published a case history based on clinical and neuropathologic data dealing with an infarction of the left cerebral hemisphere and the left hypothalamus due to the occlusion of the left internal carotid artery, with the following clinical syndromes: right hemiplegia, right hemianopsia, aphasia, and left-sided (central) Horner's syndrome. In their comment they state that this is the first clinicopathologic correlate of Horner's syndrome combined with an infarction of the hypothalamus.This statement needs to be corrected. This same syndrome has been described by Schliack and myself in 1974.2 This article describes ten patients who suffered from this syndrome. We interpreted the syndrome as an additional infarction of the region of the subthalamus and an interruption of the hypothalmospinal sympathetic tract. Therefore, the ipsilateral central Horner's syndrome with ipsilateral thermoregulatory hemianhidrosis is seen.Again in 1980, my

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