Acute bithalamic infarct manifesting as sleep-like coma: A diagnostic challenge.

Asaf Honig,Ruth Eliahou,Roni Eichel, Ari Aharon Shemesh,Tamir Ben-Hur,Eitan Auriel

Journal of Clinical Neuroscience（2016）

引用 13|浏览7

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摘要

•Bithalamic infarction (BTI) may cause varying degrees of sleep-like coma.•Urgent MRI with a diffusion-weighted sequence, facilitates this challenging early diagnosis.•Acute intervention with intravenous tissue plasminogen activator (IV-tPA), is associated with good outcomes.•Most BTI patients without IV-tPA treatment developed severe neurological deficits.•Further imaging work-up of BTI patients is indicated to determine etiology.

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关键词

Bithalamic infarct,Dural arteriovenous fistula,Emergency department,Intravenous thrombolysis,Sleep-like coma

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