Case report and related comments in a relatively young male patient with right hemiplegia after left thalamo- mesencephalic hemorrhage and a consequent Parinaud syndrome – interdisciplinary therapeutic – rehabilitative approach

Abstract

Abstract

Introduction. Thalamo- mesencephalic hemorrhage is a devasting event, with a increased morbidity and mortality rate. Parinaud’s syndrome, also known as the dorsal midbrain syndrome, is characterized by a supranuclear vertical gaze disturbing, resulting from an insult to the mesencephalic tectum.

Matherial and Method. We report the case of a 45-year-old man with personal antecedents of arterial hypertension, obesity and type 2 Diabetus mellitus, who was first admitted in the Neurology Clinic Division of the Teaching Emergency Hospital Bucharest with a sudden onset of complete right hemiplegia, mixed aphasia and right central– type facial palsy on 17.04.2021, being diagnosed – following complex paraclinic investigations -with a left thalamo- mesencephalic hemorrhage.

Results and discusssion. The patient followed a neuro- muscular rehabilitation program in our Neuro- Rehabilitation Clinic Division with favorable outcomes, the case representing a real challenge regarding the complexity of the factors involved.

Conclusions. The clinical outcomes and the quality of life of patients suffering from thalamo- mesencephalic hemorrhage depend both on the prompt diagnosis and the efficient treatment, followed by an appropriate rehabilitation program.