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Research Article Open access CC BY 3.0

Bilateral Thalamic Infarct in Two Unresponsive Octogenarians

Luca Masotti, Gianni Lorenzini, Francesca Gallesi, Daniel Agustin Godoy, Mario Di Napoli

International Neuropsychiatric Disease Journal · pp. 274–279 · Published 2 Jun 2014

10.9734/INDJ/2014/9897

Abstract

Bilateral thalamic infarct (BTI) represents an uncommon stroke presentation. Pathophysiology recognizes the occlusion of an anatomic variant of the thalamic blood supply from perforating branches of posterior cerebral arteries. Presentation could be nonspecific and dramatic in the same time, being coma or stupor the possible clinical scenario encountered. Diagnosis is performed by neuroradiological imaging showing the typical bilateral paramedian thalamic infarcts. Literature lacks of evidence in very old patients, therefore we describe two cases of BTI occurred in octogenarians presenting unresponsive. BTI in very old patients presenting comatose should be taken in account as diagnostic possibility.  

Percheron syndrome bilateral talamic infarct stroke, elderly

References (16)

  1. 1 Artery of Percheron Infarction: Imaging Patterns and Clinical Spectrum [DOI]
  2. 2 The anatomy of the arterial supply of the human thalamus and its use for the interpretation of the thalamic vascular pathology [DOI]
  3. 3 Bilateral thalamic infarction [DOI]
  4. 4 Bilateral Paramedian Thalamic Artery Infarcts: Report of 10 Cases [DOI]
  5. 5 Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts.
  6. 6 Clinical study of 39 patients with atypical lacunar syndrome [DOI]
  7. 7 Artery of Percheron Infarction as an Unusual Cause of Coma: Three Cases and Literature Review [DOI]
  8. 8 Accident vasculaire ischémique bithalamique : existe-t-il un tableau évocateur ? Étude radioclinique [DOI]
  9. 9 Síndrome de la arteria de Percheron: variabilidad clínica y diagnóstico diferencial [DOI]
  10. 10 Akinetic mutism and bilateral anterior cerebral artery occlusion [DOI]
  11. 11 Thalamic infarct presenting as catastrophic life-threatening event in an older adult [DOI]
  12. 12 The therapeutic potential of bromocriptine in neuropsychological rehabilitation of patients with acquired brain damage [DOI]
  13. 13 [Arteries of the human thalamus. II. Arteries and paramedian thalamic territory of the communicating basilar artery].
  14. 14 [Arteries of the human thalamus. I. Artery and polar thalamic territory of the posterior communicating artery].
  15. 15 [Arteries of the thalamus in man. Choroidal arteries. III. Absence of the constituted thalamic territory of the anterior choroidal artery. IV. Arteries and thalamic territories of the choroidal and postero-median thalamic arterial system. V. Arteries and thalamic territories of the choroidal and postero-lateral thalamic arterial system].
  16. 16 [Arteries of the thalamus in man. Choroidal arteries. I. Macroscopic study of individual variations. II. Systematization].

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