{"id":"https://openalex.org/W1879830147","doi":null,"title":"Somnolence and stuttering as the primary manifestations of a midbrain stroke.","display_name":"Somnolence and stuttering as the primary manifestations of a midbrain stroke.","publication_year":2008,"publication_date":"2008-07-01","ids":{"openalex":"https://openalex.org/W1879830147","mag":"1879830147","pmid":"https://pubmed.ncbi.nlm.nih.gov/22518226","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3317294"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:3317294","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3317294","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Vasc Interv Neurol","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3317294","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082509246","display_name":"Ioannis Karakis","orcid":"https://orcid.org/0000-0001-5122-7211","observed_orcids":["https://orcid.org/0000-0001-5122-7211"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I4210110767","display_name":"National Institute of Neurological Disorders and Stroke","ror":"https://ror.org/01s5ya894","country_code":"US","type":"facility","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210110767"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ioannis Karakis","raw_affiliation_strings":["Department of Neurology, Boston University, Boston, MA (IK, JRR); Department of Neurology, Hospital de la Princesa, Madrid, Spain (GRR); Human Motor Control Section of the National Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, MD (AE)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Boston University, Boston, MA (IK, JRR); Department of Neurology, Hospital de la Princesa, Madrid, Spain (GRR); Human Motor Control Section of the National Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, MD (AE)","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1299303238","https://openalex.org/I4210110767"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013920760","display_name":"Aviva Ellenstein","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aviva Ellenstein","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044493065","display_name":"Gemma Reig Rosell\u00f3","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gemma R Rosell\u00f3","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5040070345","display_name":"Jose Rafael Romero","orcid":"https://orcid.org/0000-0002-1101-2950","observed_orcids":["https://orcid.org/0000-0002-1101-2950"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jos\u00e9 R Romero","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.10153076,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"1","issue":"3","first_page":"73","last_page":"4"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13966","display_name":"Neurological and metabolic disorders","score":0.5400000214576721,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13966","display_name":"Neurological and metabolic disorders","score":0.5400000214576721,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.20029999315738678,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12684","display_name":"Stuttering Research and Treatment","score":0.17919999361038208,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sleepiness","display_name":"sleepiness","score":0.9819999933242798},{"id":"https://openalex.org/keywords/stuttering","display_name":"stuttering","score":0.9950000047683716},{"id":"https://openalex.org/keywords/supplementary-motor-area","display_name":"supplementary motor area","score":0.722000002861023},{"id":"https://openalex.org/keywords/reticular-activating-system","display_name":"reticular activating system","score":0.8709999918937683},{"id":"https://openalex.org/keywords/mesencephalic-trigeminal-nucleus","display_name":"mesencephalic trigeminal nucleus","score":0.8999999761581421},{"id":"https://openalex.org/keywords/vertical-nystagmus","display_name":"vertical nystagmus","score":0.6890000104904175},{"id":"https://openalex.org/keywords/speech-therapy","display_name":"speech therapy","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C2779034229","wikidata":"https://www.wikidata.org/wiki/Q1077823","display_name":"Somnolence","level":3,"score":0.6498360633850098},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5533961653709412},{"id":"https://openalex.org/C2781371259","wikidata":"https://www.wikidata.org/wiki/Q186676","display_name":"Stuttering","level":2,"score":0.4988834857940674},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4834790825843811},{"id":"https://openalex.org/C136686920","wikidata":"https://www.wikidata.org/wiki/Q750588","display_name":"Reticular activating system","level":4,"score":0.4665042757987976},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4603751301765442},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.3468376696109772},{"id":"https://openalex.org/C2778655484","wikidata":"https://www.wikidata.org/wiki/Q750588","display_name":"Reticular formation","level":3,"score":0.3167930841445923},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.28957492113113403},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.180536150932312},{"id":"https://openalex.org/C529278444","wikidata":"https://www.wikidata.org/wiki/Q47273","display_name":"Central nervous system","level":2,"score":0.13771015405654907},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:3317294","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3317294","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Vasc Interv Neurol","raw_type":"Text"},{"id":"pmid:22518226","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22518226","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of vascular and interventional neurology","raw_type":"Case Reports"},{"id":"mag:1879830147","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22518226","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:3317294","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3317294","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Vasc Interv Neurol","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1574256940","https://openalex.org/W1975547693","https://openalex.org/W1980672537","https://openalex.org/W1990787578","https://openalex.org/W2110621691","https://openalex.org/W2132317831","https://openalex.org/W2144616890","https://openalex.org/W2168935941","https://openalex.org/W2331625807","https://openalex.org/W2401711298"],"related_works":["https://openalex.org/W2077735036","https://openalex.org/W2162965986","https://openalex.org/W2809497930","https://openalex.org/W4385324489","https://openalex.org/W3149047168","https://openalex.org/W2525881720","https://openalex.org/W7108650894","https://openalex.org/W2150452248","https://openalex.org/W2058473746","https://openalex.org/W2160579468"],"abstract_inverted_index":{"BACKGROUND:":[0],"Stroke":[1],"can":[2,134,173],"occasionally":[3],"manifest":[4,135],"with":[5,36,125,136],"non-lateralizing":[6],"findings":[7],"such":[8,227],"as":[9,48,228],"somnolence":[10],"and":[11,17,21,53,62,84,117,180,206,221],"stuttering.":[12,120,137],"We":[13],"describe":[14],"a":[15,58,101],"case":[16],"discuss":[18],"the":[19,75,91,107,113,131,141,145,160,164,168,178,191],"anatomical":[20],"physiological":[22],"implications":[23],"of":[24,28,39,60,90,140,159,163,177,186,198,209,216,223],"this":[25],"rare":[26],"combination":[27],"symptoms.":[29],"CASE":[30],"REPORT:":[31],"A":[32],"51-year-old":[33],"woman":[34],"presented":[35],"3":[37],"days":[38],"\"feeling":[40],"drunk\".":[41],"She":[42,56],"could":[43],"further":[44],"specify":[45],"her":[46],"symptoms":[47],"blurry":[49],"vision,":[50],"slurred":[51],"speech,":[52],"gait":[54],"instability.":[55],"had":[57],"history":[59],"hypertension":[61],"hyperlipidemia.":[63],"Her":[64],"examination":[65],"at":[66],"presentation":[67,179],"was":[68,93],"remarkable":[69],"only":[70],"for":[71,211],"marked":[72,119],"somnolence.":[73],"Over":[74],"next":[76],"several":[77],"hours":[78],"she":[79],"developed":[80],"mild":[81],"upgaze":[82],"limitation":[83],"vertical":[85],"nystagmus.":[86],"Non-enhanced":[87],"computed":[88],"tomography":[89],"brain":[92],"normal.":[94],"Brain":[95],"magnetic":[96],"resonance":[97],"imaging":[98],"(MRI)":[99],"revealed":[100],"5":[102],"mm":[103],"acute":[104],"infarct":[105],"in":[106,214],"caudal":[108],"midbrain.":[109],"The":[110,121,195],"first":[111],"week":[112],"patient":[114,122],"remained":[115],"somnolent":[116],"manifested":[118],"improved":[123],"gradually":[124],"speech":[126],"therapy.":[127],"CONCLUSION:":[128],"Strokes":[129],"affecting":[130],"diencephalic-mesencephalic":[132],"junction":[133],"Defective":[138],"projections":[139],"reticular":[142,192],"formation":[143],"to":[144,157,184],"supplementary":[146],"motor":[147],"area,":[148],"damaged":[149],"extrapyramidal":[150],"circuits,":[151],"and/or":[152],"aberrant":[153],"propioceptive":[154],"feedback":[155],"due":[156,183],"involvement":[158],"mesencephalic":[161],"nucleus":[162],"trigeminal":[165],"nerve":[166],"are":[167],"proposed":[169],"pathophysiological":[170],"mechanisms.":[171],"Somnolence":[172],"also":[174],"be":[175],"part":[176],"is":[181],"likely":[182],"disruptions":[185],"sleep":[187],"pathways":[188],"subserved":[189],"by":[190],"activating":[193],"system.":[194],"accurate":[196],"diagnosis":[197],"these":[199],"cases":[200],"depends":[201],"on":[202],"careful":[203],"clinical":[204],"assessment":[205],"high":[207],"index":[208],"suspicion":[210],"stroke,":[212],"especially":[213],"lieu":[215],"preexisting":[217],"vascular":[218],"risk":[219],"factors":[220],"lack":[222],"an":[224],"alternative":[225],"explanation":[226],"toxic-metabolic":[229],"encephalopathy.":[230]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2016-06-24T00:00:00"}
