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Case Reports
. 2004 Jul 27;63(2):345-7.
doi: 10.1212/01.wnl.0000130252.69304.d2.

Paroxysmal dysarthria and ataxia after midbrain infarction

M Matsui  1 , H Tomimoto, K Sano, K Hashikawa, H Fukuyama, H Shibasaki
Affiliations
Case Reports

Paroxysmal dysarthria and ataxia after midbrain infarction

M Matsui et al. Neurology. .

Abstract

The authors describe a patient who showed paroxysmal dysarthria and right-limb ataxia after midbrain infarction. SPECT imaging showed marked hypoperfusion in the left parietal lobe while the patient was having frequent paroxysmal attacks. After treatment with phenytoin, the symptoms and hypoperfusion in SPECT imaging improved. The authors conclude that dysfunction of the cerebellothalamocortical pathway after midbrain infarction may cause paroxysmal dysarthria and ataxia.

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