Anterior thalamic ischaemic stroke secondary to cardiopulmonary arrest
  • João Luís Cavaco
    Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Francisco Capinha
    Department of Gastroenterology, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Maria José Pires
    Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Ana Furão Rodrigues
    Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Ana Oliveira Pedro
    Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • António Pais de Lacerda
    Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal

Keywords

Anterior thalamic stroke, post-cardiopulmonary arrest stroke, limbic thalamus

Abstract

Introduction: Ischaemic anterior thalamic lesions are rare and can present with disturbances of behaviour and memory. We describe a patient with post-cardiac arrest thalamic stroke.

Case description: A 63-year-old man presented with cardiac arrest, was resuscitated after receiving life support, and showed no lesions on computed tomography. Three days later, he presented with short-term memory disturbance and disorientation, with a de novo anterior thalamic lesion.

Conclusion: The anterior thalamic nucleus, supplied by the posterior communicating artery, is part of the Papez circuit and has a role in modulating behaviour and memory. An anterior thalamic syndrome presents with no sensory-motor deficits.

VIEW THE ENTIRE ARTICLE

References

  • Kim JS, Caplan LR. Clinical stroke syndromes. Front Neurol Neurosci 2016;40:72–92. doi: 10.1159/000448303. PMID: 27960164.
  • Maeshima S, Osawa A. Memory impairment due to stroke. In: Dehkharghani S, editor. Stroke. Brisbane (AU): Exon Publications; 2021, chapter 6. PMID: 34279883.
  • Bordes S, Werner C, Mathkour M, McCormack E, Iwanaga J, Loukas M, et al. Arterial supply of the thalamus: a comprehensive review. World Neurosurg 2020 May;137:310–318. doi: 10.1016/j.wneu.2020.01.237. PMID: 32036065.
  • Fujioka M, Okuchi K, Sakaki T, Hiramatsu K, Miyamoto S, Iwasaki S. Specific changes in human brain following reperfusion after cardiac arrest. Stroke 1994 Oct;25:2091–2095. doi: 10.1161/01.str.25.10.2091. PMID: 8091457
  • Views: 304
    HTML downloads: 71
    PDF downloads: 248


    Published: 2023-02-28
    Issue: 2023: Vol 10 No 2 (view)


    How to cite:
    1.
    Cavaco JL, Capinha F, Pires MJ, Furão Rodrigues A, Oliveira Pedro A, Pais de Lacerda A. Anterior thalamic ischaemic stroke secondary to cardiopulmonary arrest. EJCRIM 2023;10 doi:10.12890/2023_003750.

    Similar Articles

    You may also start an advanced similarity search for this article.

    Most read articles by the same author(s)