[Acute bilateral thalamic infarcts in a young man with patent foramen ovale]

Venice Chávez-Valencia1, Elizabeth Soto-Cabrera

  • 1Medicina Interna, Hospital Central Sur de Alta Especialidad Pemex, México D.F., México. drvenicechv@yahoo.com.mx

Gaceta Medica De Mexico
|April 29, 2010
PubMed
Abstract

Insights

Patent foramen ovale (PFO) is linked to strokes in young adults. This case highlights PFO as a potential cause of cryptogenic stroke, emphasizing the need for thorough evaluation in young patients.

Area of Science:

  • Neurology
  • Cardiology

Background:

  • Patent foramen ovale (PFO) is a potential risk factor for cryptogenic stroke in young individuals.
  • Cerebrovascular disease significantly impacts young patients, necessitating focused medical attention.

Observation:

  • A 27-year-old male presented with acute confusional syndrome, aphasia, bradypsychia, and somnolence.
  • Brain MRI revealed symmetrical bilateral thalamic infarctions, suggestive of Percheron artery occlusion (Type 2b).
  • Echocardiography identified a patent foramen ovale.

Findings:

  • The patient's symptoms and neuroimaging findings were consistent with a stroke.
  • The presence of a PFO in conjunction with stroke symptoms in a young patient suggests a possible embolic source.

Implications:

  • This case underscores the importance of screening for PFO in young patients experiencing cryptogenic strokes.
  • Early diagnosis and management of PFO can potentially prevent recurrent cerebrovascular events.
  • Further research into the PFO-stroke association in younger demographics is warranted.

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