Bilateral paramedian thalamic infarction presenting as status epilepticus: A case report and review of the literatures

Sheng Feng Lin, Ting Chun Lin, Han Hwa Hu, Chin I. Chen

Research output: Contribution to journalReview article

4 Citations (Scopus)

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 languageEnglish
Pages (from-to)125-130
Number of pages6
JournalActa Neurologica Taiwanica
Volume24
Issue number4
Publication statusPublished - Dec 1 2015

Fingerprint

Status Epilepticus
Infarction
Arteries
Seizures
Basilar Artery
Platelet Aggregation Inhibitors
Major Depressive Disorder
Consciousness
Anticonvulsants
Type 2 Diabetes Mellitus
Blood Vessels
Electroencephalography
Magnetic Resonance Imaging
Hypertension
Brain
Therapeutics

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 journalReview article

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AU - Chen, Chin I.

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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.

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