Abstract
Purpose: Occlusion of the artery of Percheron (AOP), a rare vascular variant of basilar artery branch, is presumed to cause bilateral paramedian thalamic infarction. We present a case of acute AOP infarction with status epilepticus. Case Report: A 65-year-old woman had past history of hypertension, type 2 diabetes mellitus, and major depressive disorder. She was found to have altered mental status on awakening. She developed tonic convulsion and progressed to status epilepticus later. The brain magnetic resonance imaging (MRI) showed acute bilateral paramedian thalamic and interpeduncular mesencephalic infarction. The electroencephalography (EEG) showed continuous epileptiform discharges. After receiving antiplatelet and anticonvulsant agents, she regained her level of consciousness and has completely recovered to previous baseline. Conclusions: To our knowledge, this is the first case of AOP infarction presenting status epilepticus. Early recognition and treatment of seizure may reverse altered mental status in those patients.
| Original language | English |
|---|---|
| Pages (from-to) | 125-130 |
| Number of pages | 6 |
| Journal | Acta Neurologica Taiwanica |
| Volume | 24 |
| Issue number | 4 |
| Publication status | Published - Dec 1 2015 |
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Keywords
- Artery of Percheron
- Status epilepticus
- Thalamic infarction
ASJC Scopus subject areas
- Neurology
- Clinical Neurology
Cite this
Bilateral paramedian thalamic infarction presenting as status epilepticus : A case report and review of the literatures. / Lin, Sheng Feng; Lin, Ting Chun; Hu, Han Hwa; Chen, Chin I.
In: Acta Neurologica Taiwanica, Vol. 24, No. 4, 01.12.2015, p. 125-130.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Bilateral paramedian thalamic infarction presenting as status epilepticus
T2 - A case report and review of the literatures
AU - Lin, Sheng Feng
AU - Lin, Ting Chun
AU - Hu, Han Hwa
AU - Chen, Chin I.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Purpose: Occlusion of the artery of Percheron (AOP), a rare vascular variant of basilar artery branch, is presumed to cause bilateral paramedian thalamic infarction. We present a case of acute AOP infarction with status epilepticus. Case Report: A 65-year-old woman had past history of hypertension, type 2 diabetes mellitus, and major depressive disorder. She was found to have altered mental status on awakening. She developed tonic convulsion and progressed to status epilepticus later. The brain magnetic resonance imaging (MRI) showed acute bilateral paramedian thalamic and interpeduncular mesencephalic infarction. The electroencephalography (EEG) showed continuous epileptiform discharges. After receiving antiplatelet and anticonvulsant agents, she regained her level of consciousness and has completely recovered to previous baseline. Conclusions: To our knowledge, this is the first case of AOP infarction presenting status epilepticus. Early recognition and treatment of seizure may reverse altered mental status in those patients.
AB - Purpose: Occlusion of the artery of Percheron (AOP), a rare vascular variant of basilar artery branch, is presumed to cause bilateral paramedian thalamic infarction. We present a case of acute AOP infarction with status epilepticus. Case Report: A 65-year-old woman had past history of hypertension, type 2 diabetes mellitus, and major depressive disorder. She was found to have altered mental status on awakening. She developed tonic convulsion and progressed to status epilepticus later. The brain magnetic resonance imaging (MRI) showed acute bilateral paramedian thalamic and interpeduncular mesencephalic infarction. The electroencephalography (EEG) showed continuous epileptiform discharges. After receiving antiplatelet and anticonvulsant agents, she regained her level of consciousness and has completely recovered to previous baseline. Conclusions: To our knowledge, this is the first case of AOP infarction presenting status epilepticus. Early recognition and treatment of seizure may reverse altered mental status in those patients.
KW - Artery of Percheron
KW - Status epilepticus
KW - Thalamic infarction
UR - http://www.scopus.com/inward/record.url?scp=84957108377&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84957108377&partnerID=8YFLogxK
M3 - Review article
C2 - 27333967
AN - SCOPUS:84957108377
VL - 24
SP - 125
EP - 130
JO - Acta Neurologica Taiwanica
JF - Acta Neurologica Taiwanica
SN - 1019-6099
IS - 4
ER -