[Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]

Fast diagnostic evaluation of somnolent or unconscious patients is a demanding task for neurologists. Apart from postictal, metabolic, and toxic causes, vascular syndromes must be rapidly identified in order to initiate a specific fibrinolytic therapy. Given its high mortality if not treated in time...

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Main Authors: Weise, J, Krapf, H, Küker, W
Format: Journal article
Language:German
Published: 2001
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author Weise, J
Krapf, H
Küker, W
author_facet Weise, J
Krapf, H
Küker, W
author_sort Weise, J
collection OXFORD
description Fast diagnostic evaluation of somnolent or unconscious patients is a demanding task for neurologists. Apart from postictal, metabolic, and toxic causes, vascular syndromes must be rapidly identified in order to initiate a specific fibrinolytic therapy. Given its high mortality if not treated in time, this dictum holds especially true for basilar artery occlusion. However, certain ischemic lesions in the vascular territory of the basilar artery without occlusion of the basilar artery itself can also result in somnolence, sopor, or even unconsciousness. Here we report early imaging signs of bithalamic infarctions as the cause of acute sopor using diffusion-weighted (DW)-MRI, which reliably identifies acute bithalamic infarctions as a possible cause of acute consciousness disturbance, even with noncooperative patients.
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spelling oxford-uuid:6704ce15-2476-465c-8fb0-d0951e81484e2022-03-26T18:35:29Z[Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6704ce15-2476-465c-8fb0-d0951e81484eGermanSymplectic Elements at Oxford2001Weise, JKrapf, HKüker, WFast diagnostic evaluation of somnolent or unconscious patients is a demanding task for neurologists. Apart from postictal, metabolic, and toxic causes, vascular syndromes must be rapidly identified in order to initiate a specific fibrinolytic therapy. Given its high mortality if not treated in time, this dictum holds especially true for basilar artery occlusion. However, certain ischemic lesions in the vascular territory of the basilar artery without occlusion of the basilar artery itself can also result in somnolence, sopor, or even unconsciousness. Here we report early imaging signs of bithalamic infarctions as the cause of acute sopor using diffusion-weighted (DW)-MRI, which reliably identifies acute bithalamic infarctions as a possible cause of acute consciousness disturbance, even with noncooperative patients.
spellingShingle Weise, J
Krapf, H
Küker, W
[Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]
title [Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]
title_full [Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]
title_fullStr [Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]
title_full_unstemmed [Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]
title_short [Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI]
title_sort bithalamic infarcts as the etiology of acute stupor early diagnosis with diffusion weighted mri
work_keys_str_mv AT weisej bithalamicinfarctsastheetiologyofacutestuporearlydiagnosiswithdiffusionweightedmri
AT krapfh bithalamicinfarctsastheetiologyofacutestuporearlydiagnosiswithdiffusionweightedmri
AT kukerw bithalamicinfarctsastheetiologyofacutestuporearlydiagnosiswithdiffusionweightedmri