Current differential diagnoses and treatment options of vascular occlusions presenting as bilateral thalamic infarcts: a review of the literature

bilateral thalamic infarctions are rare and usually caused by vascular occlusions. When symptomatic, it is important to make a distinction between different vascular etiologies in order to provide an effective and timely therapeutic response. Clinical presentations may not adequately differentiate b...

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Veröffentlicht in:Journal of neurointerventional surgery 2013-09, Vol.5 (5), p.419-425
Hauptverfasser: Agarwal, Nitin, Tolia, Arpan, Hansberry, David Richard, Duffis, Ennis Jesus, Barrese, James C, Gandhi, Chirag D, Prestigiacomo, Charles J
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container_end_page 425
container_issue 5
container_start_page 419
container_title Journal of neurointerventional surgery
container_volume 5
creator Agarwal, Nitin
Tolia, Arpan
Hansberry, David Richard
Duffis, Ennis Jesus
Barrese, James C
Gandhi, Chirag D
Prestigiacomo, Charles J
description bilateral thalamic infarctions are rare and usually caused by vascular occlusions. When symptomatic, it is important to make a distinction between different vascular etiologies in order to provide an effective and timely therapeutic response. Clinical presentations may not adequately differentiate between the vascular etiologies alone. It is therefore important to use imaging technologies to distinguish appropriately the origin of the infarct so that proper treatment can be administered. Advanced imaging techniques, such as CT angiography and MR angiography, have proved useful for distinguishing between arterial and venous causes of bithalamic infarctions. Bilateral thalamic venous infarctions can be treated with anticoagulation medication and with thrombolysis in more severe cases. Bilateral thalamic arterial infarctions may be treated with thrombolysis.
doi_str_mv 10.1136/neurintsurg-2012-010352
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subjects Anticoagulants
Anticoagulants - therapeutic use
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - epidemiology
Arterial Occlusive Diseases - physiopathology
Arterial Occlusive Diseases - therapy
Brain Edema - etiology
Brain Edema - therapy
Cerebral Angiography
Cerebral Infarction - diagnosis
Cerebral Infarction - epidemiology
Cerebral Infarction - physiopathology
Cerebral Infarction - therapy
Colonies & territories
Coma
Diagnosis, Differential
Heart attacks
Humans
Magnetic Resonance Angiography
Medical imaging
Patients
Sinuses
Stroke
Supplies
Thalamic Diseases - diagnosis
Thalamic Diseases - epidemiology
Thalamic Diseases - physiopathology
Thalamic Diseases - therapy
Thrombolytic Therapy - methods
Thrombosis
Tomography, X-Ray Computed
Vertebrobasilar Insufficiency - diagnosis
Vertebrobasilar Insufficiency - therapy
title Current differential diagnoses and treatment options of vascular occlusions presenting as bilateral thalamic infarcts: a review of the literature
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