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Case Studies | Neurology | India | Volume 13 Issue 1, January 2024

Eti - Anatomico - Clinical Correlation of Dejerine - Roussy Syndrome with Choreoathetoid Movement and Ataxic - Hemiparesis in Localization of Stroke - A Case Report

Dr. Ramesh Krishnan

Abstract: Background: The D?jerine - Roussy syndrome is caused by lesions in the posterior Lateral nuclei of the thalamus, which usually have vascular aetiology. It has a prevalence of 17%?18%, after a stroke involving the inferior - lateral thalamus. This syndrome is characterized by, superficial hemianaesthesia, allodynia, severe and paroxysmal pain and choreoathetoid movements in the limbs on the paralyzed side. A posterior lateral thalamic lesion can present with ataxic hemiparesis contralateral to the side of the lesion. Methods: We have reported a case of a 65 - year - old diabetic and hypertensive male who presented with sudden onset of superficial hemianaesthesia, allodynia, severe and paroxysmal pain on the right side of the body with choreoathetoid movements in upper limbs along with slurred speech and unsteadiness while walking. Conclusion: We aimed to correlate aetiology and clinical features with the case of dejerine ?roussay ?syndrome with choreoathetoid and ataxic hemiparesis representing specific lesions of the central pathway. This case includes somatosensory landmarks along with tracts and pathways that are linked to the topography of the cerebrovascular lesions and therefore will help in suitable clinical evaluation and management of stroke.

Keywords: Dejerine - Roussay Syndrome, Ataxia, Stroke, Thalamus

Edition: Volume 13 Issue 1, January 2024,

Pages: 1448 - 1451