Bilateral Thalamic Stroke as a Cause of Decreased Responsiveness.
acute stroke
cerebrovascular disease
emergency department
ischemic stroke
thalamic infarct
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
10 May 2021
10 May 2021
Historique:
entrez:
14
6
2021
pubmed:
15
6
2021
medline:
15
6
2021
Statut:
epublish
Résumé
We report the case of a 77-year-old male with no prior history of stroke who came in as a stroke alert for right facial droop and speech slurring, but upon presentation he had decreased responsiveness. Initial imaging for stroke was negative. Laboratory evaluation revealed no abnormalities. As lumbar puncture was about to be performed, the patient had a sudden resolution of symptoms, became responsive, and started answering questions. Magnetic resonance imaging (MRI) revealed small acute infarcts in the bilateral thalami and adjacent central aspect of the midbrain, right larger than the left. General decreased responsiveness needs to be considered in the differential diagnosis of stroke.
Identifiants
pubmed: 34123632
doi: 10.7759/cureus.14935
pmc: PMC8189268
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e14935Informations de copyright
Copyright © 2021, Qureshi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Lancet Neurol. 2011 Jun;10(6):550-60
pubmed: 21601162
Case Rep Hematol. 2019 Jan 14;2019:7425320
pubmed: 30766737
Stroke. 2016 Mar;47(3):668-73
pubmed: 26846858
Emerg Med J. 2008 Nov;25(11):735-9
pubmed: 18955606
Stroke. 2003 Sep;34(9):2264-78
pubmed: 12933968
Medicine (Baltimore). 2019 Aug;98(32):e16737
pubmed: 31393385
Am J Med Sci. 1997 Apr;313(4):252-4
pubmed: 9099159
Curr Treat Options Neurol. 2017 Feb;19(2):5
pubmed: 28251587