TY  - JOUR
AU  - Moataz Ahmed Salama
AU  - Asma Al Hammadi
AU  - Yousif Osman
AU  - Mohamed Faisal
AU  - Mohamed Ismail Elakaba
PY  - 2025
DA  - 2025/05/08
TI  - Cheiro-Oral Syndrome as a Clinical Clue to Thalamic Lacunar Infarction: A Case Report and Review of Diagnostic Challenges
JO  - Surgery Research Journal
VL  - 5
IS  - 1
AB  - Lacunar infarcts represent a specific category of ischemic strokes that impact deep penetrating arteries.
Cheiro-oral syndrome (COS) is a rare neurological manifestation of lacunar infarcts, marked by sensory
disturbances in the perioral area and the ipsilateral hand. We report a 56-year-old male presented with
recurrent right-sided paresthesias affecting the face, tongue, and upper limb. Ultimately leading to a
diagnosis of a lacunar infarct in the left lateral thalamus. Initial CT brain was unremarkable; however,
MRI brain indicated an acute lacunar infarct in the left thalamus. This case highlights the clinical
significance of identifying COS as a manifestation of thalamic stroke and stresses the necessity for
heightened clinical suspicion and prompt MRI in atypical presentations to facilitate timely secondary
prevention.
SN  - 2768-0428
UR  - https://dx.doi.org/10.33425/2768-0428.1047
DO  - 10.33425/2768-0428.1047