Corpus Callosum Infarction: Case Presentation

Öz

The commissural fiber bundle connecting the two hemispheres of the brain is called the corpus callosum (CC). It plays a fundamental role in integrating sensory, motor, and cognitive information from homologous areas of association in the brain hemispheres. Anatomically, it is divided into four parts: rostrum, genu, body, and splenium. Ischemic infarction of the CC is rare. The main risk factors include hypertension, diabetes, atrial fibrillation, smoking, hyperlipidemia, low activity level, obesity, family history of stroke, history of cerebral infarction, coronary heart disease, chronic renal failure, and long-term alcohol use. CC involvement is not disease-specific. Clinical features are generally non-specific. They include headache, limb weakness, movement disorders, memory impairment, rarely foreign hand syndrome, and classic callosal linkage syndrome. Therefore, it can easily be overlooked and misdiagnosed in the early stages. For this purpose; We wanted to present a 33-year-old male patient with acute heart attack who presented with nausea, vomiting, headache, dizziness, and unsteady hand and arm movements, but had a normal neurological examination and was conscious.

Anahtar Kelimeler

• Corpus callosum
• infarction
• clinical features

Korpus Kallozum Enfarktı: Olgu Sunumu

Öz

Her iki beyin yarımküresini birbirine bağlayan komissural lif demetine korpus kallozum (KK) denir. Beyin yarımkürelerindeki homolog ilişki alanlarından gelen duyusal, motor ve bilişsel bilgileri bütünleştirmede temel rol oynar. Anatomik rostrum, genu, gövde ve splenium olarak dört bölüme ayrılır. KK iskemik enfarktüsü nadirdir. Başlıca risk faktörleri hipertansiyon, diyabet, atriyal fibrilasyon, sigara kullanımı, hiperlipidemi, düşük aktivite, obezite, ailede inme öyküsü, serebral enfarktüs öyküsü, koroner kalp hastalığı, kronik böbrek yetmezliği ve uzun süreli alkol kullanımı mevcuttur. KK tutulumu bir hastalığa özgü değildir. Klinik özellikler genellikle spesifik değildir. Baş ağrısı, uzuv zayıflığı, hareket bozuklukları, hafıza bozukluğu, nadiren yabancı el sendromu ve klasik kallozal bağlantı kopma sendromunu içerir. Bu nedenle erken evrede kolayca gözden kaçabilir ve yanlış tanı alabilir. Bu amaçla; bulantı, kusma, baş ağrısı, baş dönmesi, dengesiz el ve kol hareketleri bulunan, nörolojik muayenesi normal ve bilinci açık olan 33 yaşında, akut KK enfarktüsü gelişmiş erkek hastayı sunmak istedik.

Anahtar Kelimeler

• Corpus callosum
• infarction
• clinical features

Kaynakça

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