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 |
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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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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.</description><identifier>ISSN: 1759-8478</identifier><identifier>EISSN: 1759-8486</identifier><identifier>DOI: 10.1136/neurintsurg-2012-010352</identifier><identifier>PMID: 22805281</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>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</subject><ispartof>Journal of neurointerventional surgery, 2013-09, Vol.5 (5), p.419-425</ispartof><rights>Published by the BMJ Publishing Group Limited. 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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. 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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.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>22805281</pmid><doi>10.1136/neurintsurg-2012-010352</doi><tpages>7</tpages></addata></record> |
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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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