Bilateral thalamic infarctions due to occlusion of artery of Percheron

Teoh, Hock Luen; Ahmad, Aftab; Yeo, Leonard L.L.; Hsu, Eugene; Chan, Bernard; Sharma, Vijay K.

doi:10.1016/j.jns.2010.03.031

Cited by 25 publications

(13 citation statements)

References 5 publications

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“…2C). A recent report describes the neuroimaging findings of bilateral acute thalamic infarcts in a patient with somnolence due to occlusion of Percheron's artery [9].…”

Section: Discussionmentioning

confidence: 99%

Bilateral thalamic stroke transiently reduces arousals and NREM sleep instability

Luigetti

Lazzaro

Broccolini

et al. 2011

Journal of the Neurological Sciences

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“…2C). A recent report describes the neuroimaging findings of bilateral acute thalamic infarcts in a patient with somnolence due to occlusion of Percheron's artery [9].…”

Section: Discussionmentioning

confidence: 99%

Bilateral thalamic stroke transiently reduces arousals and NREM sleep instability

Luigetti

Lazzaro

Broccolini

et al. 2011

Journal of the Neurological Sciences

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“…MR angiography can be useful to rule out the involvement of larger vessels—for example, the visualization of an unremarkable basilar artery excludes the diagnosis of ‘top of the basilar artery’ syndrome 10 37 79 80…”

Section: Radiographic Differencesmentioning

confidence: 99%

“…While the straight sinus, deep cerebral vein, and the basilar artery are well understood, little is known about the AOP. The AOP has been identified as a rare variation of the paramedian thalamic-mesencephalic arterial supply in which a single blood vessel arises from the posterior cerebral arteries (PCA) and distributes to both paramedian thalami 9 10. Bithalamic venous infarcts can be confused with arterial conditions such as those due to a basilar artery occlusion 3 4.…”

Section: Introductionmentioning

confidence: 99%

Current differential diagnoses and treatment options of vascular occlusions presenting as bilateral thalamic infarcts: a review of the literature

Agarwal

Tolia

Hansberry

et al. 2012

J NeuroIntervent Surg

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bilateral thalamic infarctions are rare and usually caused by vascular occlusions. When symptomatic, it is important to make a distinction between different vascular etiologies in order to provide an effective and timely therapeutic response. Clinical presentations may not adequately differentiate between the vascular etiologies alone. It is therefore important to use imaging technologies to distinguish appropriately the origin of the infarct so that proper treatment can be administered. Advanced imaging techniques, such as CT angiography and MR angiography, have proved useful for distinguishing between arterial and venous causes of bithalamic infarctions. Bilateral thalamic venous infarctions can be treated with anticoagulation medication and with thrombolysis in more severe cases. Bilateral thalamic arterial infarctions may be treated with thrombolysis.

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“…1,2 We describe two children presenting with ataxia, mutism, and altered personality after infection who were suspected to have bilateral thalamic posterior paramedian syndrome on the basis of clinical and cranial magnetic resonance imaging (MRI) findings. The first patient was a 5-year-old boy presented with impaired speech, imbalance, agitation, and somnolence after chicken pox infection.…”

Section: Introductionmentioning

confidence: 99%