Teaching NeuroImages: Comatose patient with bilateral thalamic infarct due to internal carotid artery occlusion

Neurology. 2013 Apr 23;80(17):e185-6. doi: 10.1212/WNL.0b013e31828f1887.

Abstract

An 88-year-old woman with a medical history of diabetes, hypertension, and atrial fibrillation presented to the emergency room after being found unresponsive with a NIH Stroke Scale score of 23 and Glasgow Coma Scale score of 3. She was unresponsive to painful stimuli. Noncontrast CT demonstrated bilateral thalamic infarcts (figure 1A).

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / pathology*
  • Atrial Fibrillation / complications
  • Brain Infarction / complications
  • Brain Infarction / pathology*
  • Carotid Artery Diseases / complications
  • Carotid Artery Diseases / pathology*
  • Coma / etiology
  • Coma / pathology*
  • Diabetes Mellitus
  • Female
  • Humans
  • Hypertension / complications
  • Thalamus / blood supply*
  • Thalamus / pathology