Abstract

Para median thalamic syndrome due to occlusion of the artery of Percheron: A rare case of stroke

Highlights

  • A 35-year-old previously healthy male found unresponsive by his friends despite many attempts to wake him up from the sleep in the morning and brought to the Teaching Hospital, Peradeniya on May 2018

  • An urgent non-contrast CT brain was performed followed by contrast-enhanced CT (CECT) of the brain, which showed a hypodense area in right frontal lobe suggestive of an old infarction

  • MRI done five days later showed features of a sub-acute infarction in paramedian thalami and rostral midbrain bilaterally (Figure 1) compatible with the paramedian thalamic syndrome (PTS). He was started on aspirin and a statin, and made a gradual recovery until he was lost to followup

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Summary

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Paramedian thalamic syndrome due to occlusion of the artery of Percheron: A rare case of stroke.

Case presentation and discussion
Ceylon Medical Journal
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