Thalamic infarct presenting as catastrophic life-threatening event in an older adult

被引：0

作者：

Wells, Malcolm ^{[1
,2
]}

Jacques, Rebekah ^{[1
,3
]}

Odasso, Manuel Montero ^{[4
,5
,6
]}

机构：

[1] Univ Western Ontario, Dept Med, Acute Care Elderly Unit, London, ON N6C 5J1, Canada

[2] Univ Western Ontario, Internal Med Residency Program, London, ON N6C 5J1, Canada

[3] Univ Western Ontario, Dept Pathol Residency Program, London, ON N6C 5J1, Canada

[4] Univ Western Ontario, Div Geriatr Med, London, ON N6C 5J1, Canada

[5] Univ Western Ontario, Lawson Hlth Res Inst, London, ON N6C 5J1, Canada

[6] Univ Western Ontario, Dept Epidemiol & Biostat, London, ON N6C 5J1, Canada

来源：

AGING CLINICAL AND EXPERIMENTAL RESEARCH | 2011年 / 23卷 / 04期

关键词：

Akinetic; mutism; Percheron artery; stroke; ARTERY;

D O I：

10.1007/BF03337758

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

An 84 year old woman with history of moderate Alzheimer's disease, depression, and an anxiety disorder presented to our emergency room at Victoria Hospital, London, Ontario in an 'unresponsive' state. The patient was akinetic with mutism, and clonic perseueration induced in the upper limbs was evident while she was examined. Heart attack, massive stroke, or intracranial bleed were ruled out, and an electroencephalogram showed no epileptiform activity. Despite a normal CT, a magnetic resonance scan was ordered and showed bilateral acute paramedian thalamogeniculate infarction arising from occlusion of the artery of Percheron. Bilateral thalamic infarcts can cause sudden onset of akinetic mutism with clonic perseueration, which may be confused with coma and seizures due to life threatening conditions such as a massive stroke. Thorough clinical assessment and early use of MRI scanning will assist physicians with a more accurate diagnosis of older adults with this kind of presentation. (Aging Clin Exp Res 2011; 23: 320-322) (C) 2011, Editrice Kurtis

引用

页码：320 / 322

页数：3

共 6 条

[1] Occlusion of the artery of percheron: Clinical and neuroimaging correlation [J].