J Pediatr Neurol 2018; 16(04): 248-252
DOI: 10.1055/s-0038-1637722
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Unusual Presentation of Childhood Reversible Angiopathy: Aphasia due to Acute Bilateral Paramedian Thalamic Infarct

Khadija Sonda Moalla
1  Department of Child Neurology, Hedi Chaker Hospital, Sfax, Tunisia
,
Makram Othman
1  Department of Child Neurology, Hedi Chaker Hospital, Sfax, Tunisia
2  Faculty of Medicine, Search Unit “UR12ES16,” Sfax, Tunisia
,
Leila Ben Massoud
1  Department of Child Neurology, Hedi Chaker Hospital, Sfax, Tunisia
2  Faculty of Medicine, Search Unit “UR12ES16,” Sfax, Tunisia
,
Fatma Kamoun
1  Department of Child Neurology, Hedi Chaker Hospital, Sfax, Tunisia
2  Faculty of Medicine, Search Unit “UR12ES16,” Sfax, Tunisia
,
Chahnez Triki
1  Department of Child Neurology, Hedi Chaker Hospital, Sfax, Tunisia
2  Faculty of Medicine, Search Unit “UR12ES16,” Sfax, Tunisia
› Author Affiliations
Further Information

Publication History

24 December 2017

12 February 2018

Publication Date:
09 March 2018 (eFirst)

Abstract

An 8-year-old right-handed girl manifested aphasia after bilateral thalamic infarcts. The features of thalamic aphasia are similar to that of previously reported patients with thalamic lesions. Paucity of speech, reduced voice volume, some paraphasia, and severe dysgraphia were present, but comprehension and repetition were preserved. Thalamic aphasia is usually associated with left thalamic lesions. Our patient also had spatial neglect and anosognosia probably due to right thalamic infarction. She had recovered near-normal speech after rehabilitation.