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[Complete recovery from transient coma in bilateral paramedian thalamic infarctions]
J L Casado1, C Arenas, V Serrano
1Servicio de Neurología, Hospital Universitario Virgen del Rocío, Sevilla.
Revista De Neurologia
|January 1, 1995
Summary
Bilateral paramedian thalamic infarcts (BPTI) can cause coma, hypersomnolence, or amnesia. Two patients with BPTI experienced only transient coma, recovering within eight hours without other symptoms.
Area of Science:
- Neurology
- Neuroscience
- Medical Research
Background:
- Bilateral paramedian thalamic infarcts (BPTI) are known to present with diverse neurological deficits.
- Typical BPTI symptoms include transient coma, hypersomnolence, irrational behavior, and amnesic states.
Observation:
- This study reports on two patients diagnosed with BPTI.
- Both patients presented with an initial clinical manifestation of coma.
Findings:
- The coma in both patients resolved spontaneously in less than eight hours.
- Neither patient exhibited any accompanying symptoms such as hypersomnolence or behavioral changes post-coma.
Implications:
- These findings suggest a potential variant presentation of BPTI.
- Further research is needed to understand the full spectrum of BPTI clinical manifestations.
- This case series may aid in refining diagnostic criteria for thalamic stroke syndromes.