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Central Pain from Cerebral Abscess:Thalamic Syndrome in AIDS Patients with Toxoplasmosis
Neurol 42:1107-1109, Gonzales,G.R.,et al, 1992
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Article Abstract
We describe two patients with acquired immunodeficiency syndrome(AIDS)who developed classic thalamic syndrome(TS)due to Toxoplasma abscesses in the thalamic region.Treatment with amitriptyline provided substantial relief in both patients.Postmortem examination in one case revealed a lesion in the internal capsule and thalamic reticular nucleus.These observations indicate that(1)TS can result from an isolated lesion in the internal capsule and reticular nucleus of the thalamus,(2)cerebral abscess can cause classic TS,(3)central pain can be added to the many pain syndromes that afflict AIDS patients,and(4)an analgesic response to amitriptyline is possible in these patients.
 
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abscess,intracerebral
acquired immunodeficiency syndrome
amitriptyline
CAT scan
CAT scan,abnormal
pain
pain,central
thalamic syndrome
thalamus,lesion of
toxoplasmosis,CNS
treatment of neurologic disorder

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