medigraphic.com
ISSN 0016-3813 (Print)

2010, Number 1

<< Back Next >>

Gac Med Mex 2010; 146 (1)

Infarto agudo talámico bilateral en paciente joven con foramen oval permeable

Chávez-Valencia V, Soto-Cabrera E

Language: Spanish
References: 23
Page: 55-58
PDF size: 87.59 Kb.


ABSTRACT

Background: Patent foramen ovale (PFO) has been associated with cryptogenic stroke in young patients.
Clinical case: A 27-year-old man presented with acute confusional syndrome, altered language, bradypsychia and somnolence. Brain MRI showed symmetrical bilateral thalamic infarctions probably due to occlusion of Percheron’s artery type 2b. Echocardiography showed patent foramen ovale.
Conclusions: Cerebrovascular disease is a frequent cause of disability and even death in young patients, and thus its medical approach should be emphasized


REFERENCES

  1. Rebollo Álvarez-Amandi M, Leno-Camarero C. En: Rodés J, Guardia J, editores. Tratado de medicina interna. Parte XIII Enfermedades del sistema nervioso. Enfermedades cerebrovasculares. Segunda edición. España: Masson; 1997. pp. 1946-1968.

  2. Schmahmann JD. Vascular syndromes of the thalamus. Comments, opinions, and reviews. Stroke 2003;34:2264-2278.

  3. Wu LA, Malouf JF, Dearani JA, Hagler DJ, Reeder GS, Petty GW, et al. Patent foramen ovale in cryptogenic stroke. Current understanding and management options. Arch Intern Med 2004;164:950-956.

  4. Blecic S, Bogousslabsky J. Stroke in young adults. En: Barnett HJ, Mohr JP, Stein BM, editors. Stroke: pathophysiology, diagnosis and management. Third edition. New York, NY: Churchill Livingstone; 1998: pp. 1001-1012.

  5. Rozenthul-Sorokin N, Ronen R, Tamir A, Geva H, Eldar R. Stroke in the young in Israel. Incidence and outcome. Stroke 1996; 27:838-841.

  6. Herrera M. Clasificación de los pacientes con ataque cerebro vascular (ACV). Rev Per Neurol 1996;2:47-54.

  7. Bousser MG. Stroke in women: The 1997 Paul Dudley White International Lecture. Circulation 1999;99;463-467.

  8. Bogousslavsky J, Pierre P. Ischemic stroke in patients under age 45. Neurol Clin 1992;10:113-124.

  9. Wiebers DO, Feigin VL, Bronwn RD. Cerebrovascular disease in children and young adults. En: Handbook of Stroke. Philadelphia, PA: Lippincontt-Raven; 1997; pp. 237-243.

  10. Kaminski MA, Tan CD, Askari AT. A young man with acute weakness of his right arm. Cleve Clin J Med 2008;75:145-152.

  11. De Bruijn S, Agema W, Lammers GJ, E. van der Wall E, Wolterbeek R, Holman ER, et al. Transesophageal echocardiography is superior to transthoracic echocardiography in management of patients of any age with transient ischemic attack or stroke. Stroke 2006;37:2531-2534.

  12. Albucher JF, Ferrieres J, Ruidavets JB, Guiraud-Chaumeil B, Perret BP, Chollet F. Serum lipids in young patients with ischaemic stroke: a case-control study. J Neurol Neurosurg Psychiatry 2000;69:29-33.

  13. Mesa D, Franco M, Suárez-de Lezo J, Muñoz J, Rus C, Delgado M, et al. Prevalencia de foramen oval permeable en pacientes jóvenes con accidente isquémico cerebral de causa desconocida. Rev Esp Cardiol 2003;56:662-668.

  14. Souteyrand G, Motreff P, Lusson JR, Rodriguez R, Geoffroy E, Dauphin C, et al. Comparison of transthoracic echocardiography using second harmonic imaging, transcranial Doppler and transesophageal echocardiography for the detection of patent foramen ovale in stroke patients. Eur J Echocardiography 2006;7:147-154.

  15. Matheus MG, Castillo M. Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts. AJNR Am J Neuroradiol 2003;24:2005-2008.

  16. Raphaeli G, Liberman A, Gomori JM, Steiner I. Acute bilateral paramedian thalamic infarcts after occlusion of the artery of Percheron. Neurology 2006;66;E7.

  17. Di Tullio M, Sacco RL, Gopal A, Mohr JP, Homma S. Patent foramen ovale in young stroke patients. Lancet 1988;2:11-12.

  18. Kizer JR, Devereux RB. Clinical practice. Patent foramen ovale in young adults with unexplained stroke. N Engl J Med 2005;353:2361-2372.

  19. Munayer-Calderón JE, Maza-Juárez G, Carpio H. JC, Aldana-Pérez T, Lázaro-Castillo JL, San Luis-Miranda R, et al. Cierre percutáneo de foramen oval permeable con dispositivo de Amplatzer. Presentación de dos casos. Arch Cardiol Mex 2005;75:306-309.

  20. Dearani JA, Ugurlu BS, Danielson GK, Daly RC, McGregor CGA, Mullany CJ, et al. Surgical patent foramen ovale closure for prevention of paradoxical embolism–related cerebrovascular ischemic events. Circulation 1999;100(suppl II): II-171–II-175.

  21. Messé SR, Silverman IE, Kizer JR, Homma S, Zahn C, Gronseth G, et al. Practice parameter: recurrent stroke with patent foramen ovale and atrial septal aneurysm. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2004;62:1042-1050.

  22. Lee TH, Hsu WC, Chen CJ, Chen ST. Etiologic study of young ischemic stroke in Taiwan. Stroke 2002;33:1950-1955.

  23. T. Silva MT, Rodrigues R, Tress J, Victer R, Chamiê F. Patent foramen ovale in a cohort of young patients with cryptogenic ischemic stroke. Arq Neuropsiquiatr 2005;63(2-B):427-429.




2020     |     www.medigraphic.com