Document Detail


Unilateral venous thalamic infarction in a child mimicking a thalamic tumor.
MedLine Citation:
PMID:  19168825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Unilateral thalamic infarction is a rare condition in adults. This is a case report of a young child presenting with left-sided hemiparesis of sudden onset due to an unilateral venous thalamic infarction. This was attributed to an asymmetric thrombosis of the cerebral internal veins, a partial thrombosis of the vein of Galen and straight sinus. Magnetic resonance imaging resulted primarily in the differential diagnosis of a cerebral tumor or an intracerebral abscess, leading to stereotactic puncture. Subsequent magnetic resonance venography facilitated the correct diagnosis. Heparin-induced thrombocytopenia necessitated anticoagulation treatment with hirudin and later, warfarin. The patient made a complete recovery. We conclude that unclear unilateral thalamic lesions might be symptomatic of a cerebral deep venous thrombosis and might mimic a thalamic tumor. In uncertain cases, we suggest rapid performance of magnetic resonance angiography.
Authors:
Verena Haug; Michaela Linder-Lucht; Barbara Zieger; Rudolf Korinthenberg; Volker Mall; Irina Mader
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of child neurology     Volume:  24     ISSN:  1708-8283     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-26     Completed Date:  2009-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  105-9     Citation Subset:  IM    
Affiliation:
Division of Neuropediatrics and Muscular Disorders, Department of Pediatrics and Adolescent Medicine, University Hospital Freiburg, Germany. verena.haug@uniklinik-freiburg.de
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MeSH Terms
Descriptor/Qualifier:
Brain Infarction / pathology*
Brain Neoplasms / diagnosis
Female
Functional Laterality*
Humans
Infant
Intracranial Thrombosis
Magnetic Resonance Angiography / methods
Magnetic Resonance Imaging / methods
Thalamus / pathology*
Tomography, X-Ray Computed / methods
Venous Thrombosis / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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