[Bilateral paramedian thalamus infarction syndrome. Differential diagnosis in vigilance and cognition disorders].
In a 63-year-old woman admitted to the emergency ward because of coma of unknown origin, clinical examination, analysis of blood and cerebrospinal fluid, electroencephalography, and computed tomography of the brain were unrevealing. On the fourth hospital day the coma was followed by an apathetic state and amnesic syndrome, suggesting bilateral thalamic infarction. Magnetic resonance imaging of the brain demonstrated bilateral thalamic infarction of the paramedian territories. The role of the thalamus for functions of vigilance and cognition is emphasized.
Frey
H R
HR
Abteilung für Pneumologie, Departement für Innere Medizin, Universitätsspital, Zürich.
D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis; D003072:Cognition Disorders / Q000209:etiology; D003128:Coma / Q000209:etiology*; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013788:Thalamus / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014851:Wakefulness