Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis

Thierry Adoukonou; Mendinatou Agbétou; Raphaël Kaboré; Frédéric Faugeras; Francisco Macian-Montoro; Jean-Michel Vallat; Laurent Magy

doi:doi:10.11648/j.cnn.20200403.11

Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis

Thierry Adoukonou, Mendinatou Agbétou, Raphaël Kaboré, Frédéric Faugeras, Francisco Macian-Montoro, Jean-Michel Vallat, Laurent Magy

Published in Clinical Neurology and Neuroscience (Volume 4, Issue 3)

Received: 8 June 2020 Accepted: 19 June 2020 Published: 4 July 2020

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Abstract

The bilateral thalamic infarcts are a particular entity by their clinical presentations, neuropsychological, etiologic and prognostic. We report here the presentations of 19 consecutive cases collected at University Teaching Hospital of Limoges. All patients underwent clinical evaluation, neuropsychological (only some of them), a diagnostic imaging and a full workup. A follow-up was performed for certain patients These 19 patients including 11 women, mean age 65.6 years (+/- 14.0 years), 13 were hypertensive. Clinically 84.2% had oculomotor disorders and 73.7% of vigilance disorders. Seven patients had motor problems that have persisted for two days in one. In territorial terms, 17 had bilateral paramedian infarction including 10 with a stem associated injury; 1 patient had a heart attack in the paramedian and tubero-thalamic territory and the last patient had tubero-thalamic and thalamo-geniculated infarction. On the etiological among the stroke patients bithalamique paramedian, 9 patients had a disease of the small arteries and March 1 cardioembolic infarction. Neuropsychological disorders in patients examined were marked by disorder of episodic memory, working, executive dysfunction, speech disorders. After a mean follow up of 35 months and among all patients with bilateral thalamic stroke 5 patients had died. Our series confirms some data in the literature on the evolution of these heart attacks and suggests that they are mainly topography paramedian, due to small artery disease and have a particular neuropsychological outcome.

Published in	Clinical Neurology and Neuroscience (Volume 4, Issue 3)
DOI	10.11648/j.cnn.20200403.11
Page(s)	44-50
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Bithalamic, Stroke, Neuropsychology

References

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Thierry Adoukonou, Mendinatou Agbétou, Raphaël Kaboré, Frédéric Faugeras, Francisco Macian-Montoro, et al. (2020). Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis. Clinical Neurology and Neuroscience, 4(3), 44-50. https://doi.org/10.11648/j.cnn.20200403.11

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ACS Style

Thierry Adoukonou; Mendinatou Agbétou; Raphaël Kaboré; Frédéric Faugeras; Francisco Macian-Montoro, et al. Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis. Clin. Neurol. Neurosci. 2020, 4(3), 44-50. doi: 10.11648/j.cnn.20200403.11

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AMA Style

Thierry Adoukonou, Mendinatou Agbétou, Raphaël Kaboré, Frédéric Faugeras, Francisco Macian-Montoro, et al. Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis. Clin Neurol Neurosci. 2020;4(3):44-50. doi: 10.11648/j.cnn.20200403.11

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@article{10.11648/j.cnn.20200403.11,
  author = {Thierry Adoukonou and Mendinatou Agbétou and Raphaël Kaboré and Frédéric Faugeras and Francisco Macian-Montoro and Jean-Michel Vallat and Laurent Magy},
  title = {Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {3},
  pages = {44-50},
  doi = {10.11648/j.cnn.20200403.11},
  url = {https://doi.org/10.11648/j.cnn.20200403.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200403.11},
  abstract = {The bilateral thalamic infarcts are a particular entity by their clinical presentations, neuropsychological, etiologic and prognostic. We report here the presentations of 19 consecutive cases collected at University Teaching Hospital of Limoges. All patients underwent clinical evaluation, neuropsychological (only some of them), a diagnostic imaging and a full workup. A follow-up was performed for certain patients These 19 patients including 11 women, mean age 65.6 years (+/- 14.0 years), 13 were hypertensive. Clinically 84.2% had oculomotor disorders and 73.7% of vigilance disorders. Seven patients had motor problems that have persisted for two days in one. In territorial terms, 17 had bilateral paramedian infarction including 10 with a stem associated injury; 1 patient had a heart attack in the paramedian and tubero-thalamic territory and the last patient had tubero-thalamic and thalamo-geniculated infarction. On the etiological among the stroke patients bithalamique paramedian, 9 patients had a disease of the small arteries and March 1 cardioembolic infarction. Neuropsychological disorders in patients examined were marked by disorder of episodic memory, working, executive dysfunction, speech disorders. After a mean follow up of 35 months and among all patients with bilateral thalamic stroke 5 patients had died. Our series confirms some data in the literature on the evolution of these heart attacks and suggests that they are mainly topography paramedian, due to small artery disease and have a particular neuropsychological outcome.},
 year = {2020}
}

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TY  - JOUR
T1  - Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis
AU  - Thierry Adoukonou
AU  - Mendinatou Agbétou
AU  - Raphaël Kaboré
AU  - Frédéric Faugeras
AU  - Francisco Macian-Montoro
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AU  - Laurent Magy
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JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
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EP  - 50
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200403.11
AB  - The bilateral thalamic infarcts are a particular entity by their clinical presentations, neuropsychological, etiologic and prognostic. We report here the presentations of 19 consecutive cases collected at University Teaching Hospital of Limoges. All patients underwent clinical evaluation, neuropsychological (only some of them), a diagnostic imaging and a full workup. A follow-up was performed for certain patients These 19 patients including 11 women, mean age 65.6 years (+/- 14.0 years), 13 were hypertensive. Clinically 84.2% had oculomotor disorders and 73.7% of vigilance disorders. Seven patients had motor problems that have persisted for two days in one. In territorial terms, 17 had bilateral paramedian infarction including 10 with a stem associated injury; 1 patient had a heart attack in the paramedian and tubero-thalamic territory and the last patient had tubero-thalamic and thalamo-geniculated infarction. On the etiological among the stroke patients bithalamique paramedian, 9 patients had a disease of the small arteries and March 1 cardioembolic infarction. Neuropsychological disorders in patients examined were marked by disorder of episodic memory, working, executive dysfunction, speech disorders. After a mean follow up of 35 months and among all patients with bilateral thalamic stroke 5 patients had died. Our series confirms some data in the literature on the evolution of these heart attacks and suggests that they are mainly topography paramedian, due to small artery disease and have a particular neuropsychological outcome.
VL  - 4
IS  - 3
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Author Information

Thierry Adoukonou

Service de Neurologie CHU Limoges, Limoges, France
Mendinatou Agbétou

Unité d’Enseignement et de Recherche de Neurologie, Faculté de Médecine Université de Parakou, Parakou, Benin
Raphaël Kaboré
Frédéric Faugeras

Service de Neurologie CHU Limoges, Limoges, France
Francisco Macian-Montoro

Service de Neurologie CHU Limoges, Limoges, France
Jean-Michel Vallat

Service de Neurologie CHU Limoges, Limoges, France
Laurent Magy

Service de Neurologie CHU Limoges, Limoges, France

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APA Style

Thierry Adoukonou, Mendinatou Agbétou, Raphaël Kaboré, Frédéric Faugeras, Francisco Macian-Montoro, et al. (2020). Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis. Clinical Neurology and Neuroscience, 4(3), 44-50. https://doi.org/10.11648/j.cnn.20200403.11

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ACS Style

Thierry Adoukonou; Mendinatou Agbétou; Raphaël Kaboré; Frédéric Faugeras; Francisco Macian-Montoro, et al. Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis. Clin. Neurol. Neurosci. 2020, 4(3), 44-50. doi: 10.11648/j.cnn.20200403.11

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AMA Style

Thierry Adoukonou, Mendinatou Agbétou, Raphaël Kaboré, Frédéric Faugeras, Francisco Macian-Montoro, et al. Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis. Clin Neurol Neurosci. 2020;4(3):44-50. doi: 10.11648/j.cnn.20200403.11

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@article{10.11648/j.cnn.20200403.11,
  author = {Thierry Adoukonou and Mendinatou Agbétou and Raphaël Kaboré and Frédéric Faugeras and Francisco Macian-Montoro and Jean-Michel Vallat and Laurent Magy},
  title = {Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {3},
  pages = {44-50},
  doi = {10.11648/j.cnn.20200403.11},
  url = {https://doi.org/10.11648/j.cnn.20200403.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200403.11},
  abstract = {The bilateral thalamic infarcts are a particular entity by their clinical presentations, neuropsychological, etiologic and prognostic. We report here the presentations of 19 consecutive cases collected at University Teaching Hospital of Limoges. All patients underwent clinical evaluation, neuropsychological (only some of them), a diagnostic imaging and a full workup. A follow-up was performed for certain patients These 19 patients including 11 women, mean age 65.6 years (+/- 14.0 years), 13 were hypertensive. Clinically 84.2% had oculomotor disorders and 73.7% of vigilance disorders. Seven patients had motor problems that have persisted for two days in one. In territorial terms, 17 had bilateral paramedian infarction including 10 with a stem associated injury; 1 patient had a heart attack in the paramedian and tubero-thalamic territory and the last patient had tubero-thalamic and thalamo-geniculated infarction. On the etiological among the stroke patients bithalamique paramedian, 9 patients had a disease of the small arteries and March 1 cardioembolic infarction. Neuropsychological disorders in patients examined were marked by disorder of episodic memory, working, executive dysfunction, speech disorders. After a mean follow up of 35 months and among all patients with bilateral thalamic stroke 5 patients had died. Our series confirms some data in the literature on the evolution of these heart attacks and suggests that they are mainly topography paramedian, due to small artery disease and have a particular neuropsychological outcome.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Bithalamic Infarct Revisited: Clinical, Imaging, Neuropsychological Profile and Prognosis
AU  - Thierry Adoukonou
AU  - Mendinatou Agbétou
AU  - Raphaël Kaboré
AU  - Frédéric Faugeras
AU  - Francisco Macian-Montoro
AU  - Jean-Michel Vallat
AU  - Laurent Magy
Y1  - 2020/07/04
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200403.11
DO  - 10.11648/j.cnn.20200403.11
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 44
EP  - 50
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200403.11
AB  - The bilateral thalamic infarcts are a particular entity by their clinical presentations, neuropsychological, etiologic and prognostic. We report here the presentations of 19 consecutive cases collected at University Teaching Hospital of Limoges. All patients underwent clinical evaluation, neuropsychological (only some of them), a diagnostic imaging and a full workup. A follow-up was performed for certain patients These 19 patients including 11 women, mean age 65.6 years (+/- 14.0 years), 13 were hypertensive. Clinically 84.2% had oculomotor disorders and 73.7% of vigilance disorders. Seven patients had motor problems that have persisted for two days in one. In territorial terms, 17 had bilateral paramedian infarction including 10 with a stem associated injury; 1 patient had a heart attack in the paramedian and tubero-thalamic territory and the last patient had tubero-thalamic and thalamo-geniculated infarction. On the etiological among the stroke patients bithalamique paramedian, 9 patients had a disease of the small arteries and March 1 cardioembolic infarction. Neuropsychological disorders in patients examined were marked by disorder of episodic memory, working, executive dysfunction, speech disorders. After a mean follow up of 35 months and among all patients with bilateral thalamic stroke 5 patients had died. Our series confirms some data in the literature on the evolution of these heart attacks and suggests that they are mainly topography paramedian, due to small artery disease and have a particular neuropsychological outcome.
VL  - 4
IS  - 3
ER  -

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