人们已认识到在健忘性虚构综合征(Rorsakoff综合征)中出现的嗅觉障碍可归咎于丘脑背内侧核病变。作者报告了1例双侧丘脑背内侧核梗死病人出现嗅觉、味觉倒错并导致其食物摄取量减少、体重明显下降,反映了丘脑在食物摄取和体重调控方面仍有未被人所知的作用。 患者女,68岁,近10年体重维持在65kg。1993年突然出现持续数秒的水平复视和随后出现的约半小时意识丧失,以及数小时定向障碍。以后病人主诉嗅 It has been recognized that olfactory disturbances occurring in amnestic fictitious syndrome (Rorsakoff’s syndrome) can be ascribed to dorsal thalamic nucleus lesions. The authors report that one patient with bilateral dorsal thalamic nucleus infarction had olfactory, inversive taste and reduced food intake and weight, reflecting the still unknown role of the thalamus in food intake and body weight regulation . Female patient, 68 years old, nearly 10 years of weight maintained at 65kg. A sudden onset of diplopia lasting for a few seconds in 1993 and consequent loss of consciousness of about half an hour, followed by hours of orientation disorders. After the patient complained of the main complaint