NDLI: Bilateral thalamic infarcts because of the occlusion of the artery of Percheron in a patient with patent foramen ovale : report of a case and review of literature

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Bilateral thalamic infarcts because of the occlusion of the artery of Percheron in a patient with patent foramen ovale : report of a case and review of literature

Content Provider	Semantic Scholar
Author	Song, Xiaowen Wu, Xin-Tong Chen, Jin-Bo Su, Yi-Peng Liu, Juan
Copyright Year	2017
Abstract	Objectives: To investigate the aetiology, clinical features and imaging characteristics of bilateral thalamus infarction caused by artery of Percheron (AOP) occlusion. Methods: To summarise the aetiology, clinical manifestations, imaging, treatment and prognosis of one case and bilateral thalamus infarction caused by AOP occlusion diagnosed in our department. Relevant reports in the country and abroad in recent 5 years were reviewed, and clinical and imaging features were further discussed. Results: Many risk factors exist for cerebral vascular disease, such as patent foramen ovale. Cerebral vascular disease is caused by embolism and the onset of stroke. Thalamic stroke is clinically characterised by a wide range of alterations of consciousness varying from confusion to coma. Thalamic stroke has a typical triad of symptoms: Altered consciousness, vertical gaze palsy and memory impairment. Thalamic stroke exhibits the characteristic of image change. The clinical symptoms of patients with ischaemic cerebrovascular disease after treatment significantly improved. Conclusions: The sudden disturbance of consciousness and abnormal behaviour of patients with the exclusion of other diseases should be considered in the possibility of the disease. This condition requires early imaging examination, such as craniocerebral magnetic resonance imaging, digital subtraction angiography, cardiac ultrasound and transcranial Doppler, to confirm the diagnosis. AOP occlusion is rare. However, AOP occlusion needs these auxiliary examinations for correct diagnosis, narrow evaluation of all the possible causes and long-term anticoagulant therapy.
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.ijcem.com/files/ijcem0049143.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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