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Case Reports
. 2014 Jan 22;6(1):14-7.
doi: 10.1159/000358047. eCollection 2014 Jan.

Caudal cingulate infarction manifesting astasia

Takeshi Satow  1 , Taro Komuro  1 , Akira Kobayashi  1
Affiliations
Case Reports

Caudal cingulate infarction manifesting astasia

Takeshi Satow et al. Case Rep Neurol. .

Abstract

Introduction: Astasia is a rare presenting symptom of stroke, usually known as 'thalamic astasia', induced by a lesion in the ventrolateral thalamus. We report a case of caudal cingulate infarction manifesting astasia.

Case presentation: A 58-year-old male presented with inability to sit, stand and walk (astasia). No apparent motor weakness was noticed in the extremities. MRI revealed cerebral infarction in the caudal cingulate gyrus, which was located between the vertical commissure anterior (VCA) line and vertical commissure posterior (VPC) line. His symptoms persisted for 1 year to a lesser degree.

Conclusion: Lesions in the caudal cingulate gyrus can present with astasia. The responsible lesion is located in the cingulate gyrus between the VCA and VPC line, which might correspond to the caudal cingulate zone in humans. We should keep in mind that astasia can be a presenting symptom of stroke.

Keywords: Astasia; Cingulate motor area; Stroke.

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Figures

Fig. 1
Fig. 1
a Diffusion-weighted image showing a high-intensity lesion in the medial frontal area on the left side. b Sagittal section of double inversion recovery image showing the lesion located on the cingulate gyrus between the VCA and VCP line. AC-PC = Anterior commissure-posterior commissure line.
See this image and copyright information in PMC

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