Abstract
We reported a 57-year-old man with unilateral asterixis due to a right thalamic hemorrhage. In addition to the asterixis in left upper limb, he had left hemiparesis, mild consciousness loss, dysarthria, mild disturbance of the left position sense, and left cerebellar sign.
We confirmed a right thalamic hemorrhage with a mild hemorrhage into the right lateral ventricule on the computed tomography and delay of the central conduction time of short latency somatosensory evoked potential. We suggested that asterixis may be caused by the dysfunction of pyramidal tract, cerebellum, and reticular formation.