Loss of sense of taste (hypogeusia) involving a part of the tongue can follow acute stroke. We describe a woman with a small right thalamic acute infarct causing bilateral (mainly left-sided) hypogeusia. Her problem remains sufficiently severe to cause distress and nutritional deficit. The anatomical distribution of her problem—cheiro-oral syndrome with concurrent hypogeusia—suggested involvement of adjacent relevant thalamic fibres. We address key considerations in examining taste in research and in practice and discuss issues to address in people with hypogeusia, including swallow deficits, psychological elements of the poststroke condition and nutrition. Dietetic management should include optimising taste stimuli and nutritional support. Introducing more detailed taste assessments into standard practice would likely improve stroke unit care.

中文翻译：

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单侧丘脑梗塞导致双侧味觉丧失

涉及部分舌头的味觉丧失（味觉减退）可能伴随着急性中风。我们描述了一名右侧丘脑急性梗塞导致双侧（主要是左侧）味觉减退的女性。她的问题仍然严重到足以导致痛苦和营养不足。她的问题的解剖分布——手-口综合征并发味觉减退——表明相邻相关丘脑纤维受累。我们解决了研究和实践中检查味觉的关键考虑因素，并讨论了味觉减退患者要解决的问题，包括吞咽障碍、中风后状况的心理因素和营养。饮食管理应包括优化味觉刺激和营养支持。将更详细的口味评估引入标准实践可能会改善卒中单元的护理。