Department of Neurology
Brain; Cerebral Angiography; Cerebral Arterial Diseases; Cerebral Infarction; Cerebrovascular Circulation; Coma; Dysarthria; Humans; Magnetic Resonance Angiography; Magnetic Resonance Imaging; Male; Middle Aged; Thalamus
Nervous System Diseases | Neurology
A 52-year-old man was noted to display “unusual behavior” with transient agitation and blurry vision after otherwise uneventful diagnostic cardiac catheterization. Several hours after same-day discharge from the hospital, he suddenly became comatose, requiring intubation and admission to the intensive care unit. Two days later, he regained consciousness and was noted to have vertical gaze palsy and dysarthria without other neurologic deficits. Magnetic resonance imaging demonstrated bilateral acute medial thalamic ischemic strokes. Magnetic resonance angiography did not display extracranial or intracranial arterial stenosis (not shown). At 3 months' follow-up, he had only mild residual dysarthria.
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Publisher PDF posted after 12 months as allowed by the publisher's author rights policy at http://archneur.jamanetwork.com/public/instructionsForAuthors.aspx#SecEditorialPoliciesforAuthors.
DOI of Published Version
Arch Neurol. 2011 Mar;68(3):386-7. doi: 10.1001/archneurol.2010.377. Link to article on publisher's site.
Archives of neurology
Rivera Lara, Lucia and Henninger, Nils, "Delayed sudden coma due to artery of percheron infarction" (2011). Neurology Publications and Presentations. 443.