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Thalamic infarcts: Clinical syndromes, etiology, and prognosis
Abstract
We studied forty patients with CT-proven thalamic infarcts without involvement of the superficial territory of the posterior cerebral artery. The delineation into four arterial thalamic territories (inferolateral, tuberothalamic, posterior choroidal, paramedian) corresponded clinically to four different syndromes. The most common etiologies were lacunar infarction, large artery atherosclerosis with presumed artery-to-artery embolism, cardioembolism, and migrainous stroke. We found no risk factor other than age or oral contraceptive use in six patients. One patient died in the acute phase. During follow-up (45.6 months), the stroke or death rate was 7.4% per year. Delayed pain developed in three patients and abnormal movements in three. Late disability was mainly secondary to persisting neuropsychological dysfunction (thalamic dementia).
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“We also note that most, if not all, cases from the literature describing “thalamic coma” have radiographic evidence of lesions extending into the hypothalamus and brainstem, have exam findings not consistent with the diagnosis of coma, or have clinical signs like ophthalmoplegia that signify damage to the pons or midbrain.20–22”
From Thalamic strokes that severely impair arousal extend into the brainstem (2018) · cites this paper as [20]
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Silent Brain Infarcts and the Risk of Dementia and Cognitive Decline
Vermeer, S. E., Prins, N. D., den Heijer, T., Hofman, A., Koudstaal, P. J., & Breteler, M. M. B. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022066 · Cited by 2,313
Silent brain infarcts: a systematic review
Vermeer, S. E., Longstreth, W. T., & Koudstaal, P. J. (2007) · The Lancet Neurology · doi:10.1016/s1474-4422(07)70170-9 · Cited by 1,221
Van der Werf, Y. D., Witter, M. P., & Groenewegen, H. J. (2002) · Brain Research Reviews · doi:10.1016/s0165-0173(02)00181-9 · Cited by 994
The thalamus and behavior: Effects of anatomically distinct strokes
Carrera, E., & Bogousslavsky, J. (2006) · Neurology · doi:10.1212/01.wnl.0000219679.95223.4c · Cited by 290
Self-citationSwartz, R. H., Stuss, D. T., Gao, F., & Black, S. E. (2008) · Stroke · doi:10.1161/strokeaha.107.491936 · Cited by 82
Strategic infarcts of the thalamus in vascular dementia
Szirmai, I., Vastagh, I., Szombathelyi, É., & Kamondi, A. (2002) · Journal of the Neurological Sciences · doi:10.1016/s0022-510x(02)00273-3 · Cited by 76
Coma and Related Global Disturbances of the Human Conscious State
Plum, F. (1991) · Cerebral Cortex · doi:10.1007/978-1-4615-6622-9_9 · Cited by 68
Thalamic strokes that severely impair arousal extend into the brainstem
Hindman, J., Bowren, M. D., Bruss, J., Wright, B., Geerling, J. C., & Boes, A. D. (2018) · Annals of Neurology · doi:10.1002/ana.25377 · Cited by 53
Auchus, A. P., Chen, C. P. L. H., Sodagar, S. N., Thong, M., & Sng, E. C. S. (2002) · Journal of the Neurological Sciences · doi:10.1016/s0022-510x(02)00272-1 · Cited by 40
Expanding the canon: An inclusive neurobiology of thalamic and subthalamic fear circuits
Venkataraman, A., & Dias, B. G. (2023) · Neuropharmacology · doi:10.1016/j.neuropharm.2022.109380 · Cited by 26
Metadata
- Authors
- Bogousslavsky, J., Regli, F., & Uske, A.
- Affiliations
- From the Departments of Neurology (Drs. Bogousslavsky and Regli) and Radiology (Dr. Uske), Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
- Venue
- Neurology
- Published
- 1988-06
- Volume
- 38
- Issue
- 6
- Pages
- 837-837
- ISSN
- 0028-3878
- 1526-632X
- Cited by
- 465
- References
- 0
- Language
- en
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