Journal of Neurosciences in Rural Practice
 
CASE REPORT
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 145-147

Wake-up sleepyhead: Unilateral diencephalic stroke presenting with excessive sleepiness


Department of Neurology, MS Ramaiah Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Dhananjay Gupta
Department of Neurology, MS Ramaiah Memorial Hospital, Bengaluru - 560 054, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jnrp.jnrp_258_18

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Altered sleep architecture and stroke share a reciprocal relationship. More than half of the stroke patients display sleep abnormalities including hypersomnia, insomnia, parasomnia, periodic limb movements, or sleep-disordered breathing. Conversely, one of the major causes of severe organic hypersomnia is acute brainstem strokes, involving thalamic infarctions, which may be reversible over 6–12 months. Here, we report a patient with increased lethargy and drowsiness who was diagnosed to have a right thalamic and hypothalamic ischemic stroke.


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