• Shirish Satpute, John Bergquist, and John W Cole.
• Baltimore Veterans Affairs Medical Center, University of Maryland School of Medicine, Baltimore, MD 21201-1559, USA.
• Neurologist. 2013 Jan 1; 19 (1): 22-5.

IntroductionSmall thalamic infarcts can present with a variety of sensory deficits that can be difficult to diagnose clinically because of their seemingly disconnected manifestations.Case ReportHere we report a case of a 55-year-old man presenting with the clinical findings of Cheiro-Oral syndrome, a pure sensory thalamic lacunar syndrome that clinically presents with contralateral sensory deficits of the fingers and hemimouth.ConclusionsThis report highlights both common and unusual clinical presentations of isolated thalamic infarctions, correlating clinical symptomatology with anatomic localization. In patients with such findings on examination, thalamic infarction should be considered, with a thorough workup initiated to both confirm the diagnosis and optimally reduce future stroke risk.

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