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

研究成果: 雜誌貢獻回顧型文獻

4 引文 (Scopus)

摘要

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.
原文英語
頁(從 - 到)125-130
頁數6
期刊Acta Neurologica Taiwanica
24
發行號4
出版狀態已發佈 - 十二月 1 2015

指紋

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

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

引用此文

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.

於: Acta Neurologica Taiwanica, 卷 24, 編號 4, 01.12.2015, p. 125-130.

研究成果: 雜誌貢獻回顧型文獻

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AU - Lin, Sheng Feng

AU - Lin, Ting Chun

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AU - Chen, Chin I.

PY - 2015/12/1

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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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