title: Bilateral thalamic infarct as a diagnosed conversion disorder.
abstract: Bilateral thalamic infarcts are an uncommon type of cerebral infarct. Bilateral paramedian thalamic infarctions may lead to a severe impairment of consciousness. The sudden onset of a lethargy or comatose state, in the absence of motor deficits, easily evokes the idea of a subarachnoid hemorrhage. Other patients present with behavior changes, disorientation in space and time, memory loss, or thought disorders. We believe that bilateral thalamic infarction is often missed in emergency department (ED) in relatively young patients, especially when magnetic resonance imaging is not performed. In these cases, the patient can be discharged with various psychiatric diagnoses. We suggest that bilateral thalamic infarct should be considered in patients in the ED with new diagnoses of conversion disorder.
authors: Department of Emergency Medicine, Adiyaman University of Medical Faculty, Adiyaman, Turkey. ugurlok@hotmail.com
authors: Ugur
authors: U
authors: Lok
authors: Oner
authors: O
authors: Yalin
authors: Ramazan
authors: R
authors: Odes
authors: Selim
authors: S
authors: Bozkurt
authors: Umut
authors: U
authors: Gulacti
mesh_terms: D020520:Brain Infarction / Q000175:diagnosis*; D003291:Conversion Disorder / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013788:Thalamus / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed