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Updated: May 30, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Unilateral ptosis associated with paramedian thalamiic infarction
B Topcular1, D Yandim-Kuscu, M Colak
1Dr. Mazhar Osman Teaching and Research Hospital for Mental Health and Neurological Disorders, Department of Neurology, Istanbul, Turkey Ruh Sagligi ve Sinir Hastaliklari Egitim ve Arastirma Hastanesi, 3. Noroloji Klinigi, Istanbul, Turkey. btopcular@gmail.com
Abstract:
The paramedian artery arises from P1 segment of posterior cerebral artery and supplies a variable extent of thalamus but usually the dorsomedian, median, internal medullary lamina and the intralaminar nuclei. The typical clinical picture of unilateral paramedian thalamic infarctions consist of arousal and memory disorders, language or visuospatial disorders depending on the side of the lesion accompanied with gaze palsies and sensory-motor deficits. Ipsilateral ptosis associated with paramedian thalamic infarctions has been rarely reported. We report a 31 years old patient presenting with unilateral ptosis and right sided facial numbness associated with right paramedian thalamic infarction.

