Presentation
Thalamic syndrome with paralysis and coma.
Patient Data
Age: 60 years
Gender: Female
From the case:
Percheron artery infarction (bilateral thalamic stroke)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/86345/annotated_viewer_json?lang=us"}
Bilateral, nearly symmetrical, sharply delineated hypodensity in the thalamic nuclei.
Case Discussion
This elderly patient became comatose while undergoing PTCA for myocardial infarction. Initial CT and CT angiography were reported as unremarkable.
Follow up CT 3 days later showed sharply delineated, nearly symmetrical hypodensities of both thalamic nuclei, consistent with acute embolic infarctions. Since there was no evidence of thrombus at the top of the basilar artery, the cause for these bilateral thalamic infarctions was assumed to be embolism of the artery of Percheron.
Unable to process the form. Check for errors and try again.