CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report

This case highlights a patient presenting with a stroke code in the emergency department with decreased consciousness. The patient was later found to have bilateral thalamic strokes due to ischemia of the artery of Percheron. Initial head computed tomography (CT) and CT angiogram (CTA) of the head a...

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Autores principales: Qaiser, Alisha, Lozano, Daniela, Liquigli, Nicholas, Qureshi, Kasim, Farooq, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560080/
https://www.ncbi.nlm.nih.gov/pubmed/37809118
http://dx.doi.org/10.7759/cureus.44846
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author Qaiser, Alisha
Lozano, Daniela
Liquigli, Nicholas
Qureshi, Kasim
Farooq, Muhammad
author_facet Qaiser, Alisha
Lozano, Daniela
Liquigli, Nicholas
Qureshi, Kasim
Farooq, Muhammad
author_sort Qaiser, Alisha
collection PubMed
description This case highlights a patient presenting with a stroke code in the emergency department with decreased consciousness. The patient was later found to have bilateral thalamic strokes due to ischemia of the artery of Percheron. Initial head computed tomography (CT) and CT angiogram (CTA) of the head and neck showed no abnormalities. CT perfusion (CTP) showed a perfusion deficit of 169 mL with a T-max greater than 4 s and 4 mL with a T-max greater than 6 s in the posterior circulation. The patient received IV alteplase. This case report emphasizes the importance of perfusion neuroimaging in the evaluation of acute ischemic stroke.
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spelling pubmed-105600802023-10-08 CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report Qaiser, Alisha Lozano, Daniela Liquigli, Nicholas Qureshi, Kasim Farooq, Muhammad Cureus Internal Medicine This case highlights a patient presenting with a stroke code in the emergency department with decreased consciousness. The patient was later found to have bilateral thalamic strokes due to ischemia of the artery of Percheron. Initial head computed tomography (CT) and CT angiogram (CTA) of the head and neck showed no abnormalities. CT perfusion (CTP) showed a perfusion deficit of 169 mL with a T-max greater than 4 s and 4 mL with a T-max greater than 6 s in the posterior circulation. The patient received IV alteplase. This case report emphasizes the importance of perfusion neuroimaging in the evaluation of acute ischemic stroke. Cureus 2023-09-07 /pmc/articles/PMC10560080/ /pubmed/37809118 http://dx.doi.org/10.7759/cureus.44846 Text en Copyright © 2023, Qaiser et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Qaiser, Alisha
Lozano, Daniela
Liquigli, Nicholas
Qureshi, Kasim
Farooq, Muhammad
CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report
title CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report
title_full CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report
title_fullStr CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report
title_full_unstemmed CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report
title_short CT Perfusion Imaging Guides Clinical Decision-Making in a Case of Thalamic Stroke: A Case Report
title_sort ct perfusion imaging guides clinical decision-making in a case of thalamic stroke: a case report
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560080/
https://www.ncbi.nlm.nih.gov/pubmed/37809118
http://dx.doi.org/10.7759/cureus.44846
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