Background and purpose: The thalamic infarct is frequent among ischemic stroke. We aim to determine the frequency of the thalamic infarct and analyze the different arterial territories affected in patients with thalamic syndrome. Patients and Methods: It was a prospective study. It focused on patients hospitalized in the neurology department of our university hospital, and covered the period from January to December, 2012. Only inpatients respondents to clinical and radiological criteria for diagnosis of thalamic ischemic stroke were included. All were evaluated with detailed clinical and neuropsychological evaluation, computer tomography scan (CT scan), routine blood studies, electrocardiogram, and transthoracic echocardiography. All standard risk factors were recorded in these patients. Results: A total of 768 files were analyzed of which 219 cases of cerebral infarction were selected. Among them, 12 patients had lesions involved only thalamic nuclei, which giving the frequency of 5.48%. The mean age was 59.33 years old with a ratio sex of 1.7. The clinical signs most observed were motor deficits (8/12), speech disturbances and anterograde memory impairment (7/12), and. sensory loss (5 cases). The high blood pressure was the main risk factor in all patients. The left thalamic ischemia was most frequent with 7/12 cases. The arterial territories affected were formed by the thalamotuberal arteries in 5/12, thalamoperforating arteries, (4/12), thalamogeniculate arteries, (3/12) and posterior choroidal arteries in 2/12, giving fourteen lesions. Conclusion: Thalamic infarct solely is not so rare and all its arterial branches may be affected. The sensory deficits and abnormal involuntary movement remain the embarrassing and difficult symptom to manage.
| Published in |
American Journal of Psychiatry and Neuroscience (Volume 3, Issue 5-1)
This article belongs to the Special Issue Clinical Neurosciences in Tropical Practice |
| DOI | 10.11648/j.ajpn.s.2015030501.13 |
| Page(s) | 9-13 |
| 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), 2015. Published by Science Publishing Group |
Arterial Territories, Involuntary movement, Strokes, Thalamic Infarct
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APA Style
Komi Assogba, Lantam Sonhaye, Celikplim Akakpo, Damelan Kombate, Kossivi M. Apetse, et al. (2015). Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo. American Journal of Psychiatry and Neuroscience, 3(5-1), 9-13. https://doi.org/10.11648/j.ajpn.s.2015030501.13
ACS Style
Komi Assogba; Lantam Sonhaye; Celikplim Akakpo; Damelan Kombate; Kossivi M. Apetse, et al. Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo. Am. J. Psychiatry Neurosci. 2015, 3(5-1), 9-13. doi: 10.11648/j.ajpn.s.2015030501.13
AMA Style
Komi Assogba, Lantam Sonhaye, Celikplim Akakpo, Damelan Kombate, Kossivi M. Apetse, et al. Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo. Am J Psychiatry Neurosci. 2015;3(5-1):9-13. doi: 10.11648/j.ajpn.s.2015030501.13
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Download@article{10.11648/j.ajpn.s.2015030501.13,
author = {Komi Assogba and Lantam Sonhaye and Celikplim Akakpo and Damelan Kombate and Kossivi M. Apetse and Mofou Belo and Koffi A. A. Balogou},
title = {Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo},
journal = {American Journal of Psychiatry and Neuroscience},
volume = {3},
number = {5-1},
pages = {9-13},
doi = {10.11648/j.ajpn.s.2015030501.13},
url = {https://doi.org/10.11648/j.ajpn.s.2015030501.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.s.2015030501.13},
abstract = {Background and purpose: The thalamic infarct is frequent among ischemic stroke. We aim to determine the frequency of the thalamic infarct and analyze the different arterial territories affected in patients with thalamic syndrome. Patients and Methods: It was a prospective study. It focused on patients hospitalized in the neurology department of our university hospital, and covered the period from January to December, 2012. Only inpatients respondents to clinical and radiological criteria for diagnosis of thalamic ischemic stroke were included. All were evaluated with detailed clinical and neuropsychological evaluation, computer tomography scan (CT scan), routine blood studies, electrocardiogram, and transthoracic echocardiography. All standard risk factors were recorded in these patients. Results: A total of 768 files were analyzed of which 219 cases of cerebral infarction were selected. Among them, 12 patients had lesions involved only thalamic nuclei, which giving the frequency of 5.48%. The mean age was 59.33 years old with a ratio sex of 1.7. The clinical signs most observed were motor deficits (8/12), speech disturbances and anterograde memory impairment (7/12), and. sensory loss (5 cases). The high blood pressure was the main risk factor in all patients. The left thalamic ischemia was most frequent with 7/12 cases. The arterial territories affected were formed by the thalamotuberal arteries in 5/12, thalamoperforating arteries, (4/12), thalamogeniculate arteries, (3/12) and posterior choroidal arteries in 2/12, giving fourteen lesions. Conclusion: Thalamic infarct solely is not so rare and all its arterial branches may be affected. The sensory deficits and abnormal involuntary movement remain the embarrassing and difficult symptom to manage.},
year = {2015}
}
TY - JOUR T1 - Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo AU - Komi Assogba AU - Lantam Sonhaye AU - Celikplim Akakpo AU - Damelan Kombate AU - Kossivi M. Apetse AU - Mofou Belo AU - Koffi A. A. Balogou Y1 - 2015/06/17 PY - 2015 N1 - https://doi.org/10.11648/j.ajpn.s.2015030501.13 DO - 10.11648/j.ajpn.s.2015030501.13 T2 - American Journal of Psychiatry and Neuroscience JF - American Journal of Psychiatry and Neuroscience JO - American Journal of Psychiatry and Neuroscience SP - 9 EP - 13 PB - Science Publishing Group SN - 2330-426X UR - https://doi.org/10.11648/j.ajpn.s.2015030501.13 AB - Background and purpose: The thalamic infarct is frequent among ischemic stroke. We aim to determine the frequency of the thalamic infarct and analyze the different arterial territories affected in patients with thalamic syndrome. Patients and Methods: It was a prospective study. It focused on patients hospitalized in the neurology department of our university hospital, and covered the period from January to December, 2012. Only inpatients respondents to clinical and radiological criteria for diagnosis of thalamic ischemic stroke were included. All were evaluated with detailed clinical and neuropsychological evaluation, computer tomography scan (CT scan), routine blood studies, electrocardiogram, and transthoracic echocardiography. All standard risk factors were recorded in these patients. Results: A total of 768 files were analyzed of which 219 cases of cerebral infarction were selected. Among them, 12 patients had lesions involved only thalamic nuclei, which giving the frequency of 5.48%. The mean age was 59.33 years old with a ratio sex of 1.7. The clinical signs most observed were motor deficits (8/12), speech disturbances and anterograde memory impairment (7/12), and. sensory loss (5 cases). The high blood pressure was the main risk factor in all patients. The left thalamic ischemia was most frequent with 7/12 cases. The arterial territories affected were formed by the thalamotuberal arteries in 5/12, thalamoperforating arteries, (4/12), thalamogeniculate arteries, (3/12) and posterior choroidal arteries in 2/12, giving fourteen lesions. Conclusion: Thalamic infarct solely is not so rare and all its arterial branches may be affected. The sensory deficits and abnormal involuntary movement remain the embarrassing and difficult symptom to manage. VL - 3 IS - 5-1 ER -
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