Computed Tomographic and Postmortem Study of a Nonhemorrhagic Thalamic Infarction

Neill R. Graff Radford, Robert L. Schelper, Igor A. Ilinsky, Hanna Damasio

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

A 70-year-old man had a stroke and became unconscious. High-resolution computed tomography (CT) with 5-mm cuts disclosed bilateral thalamic infarctions, larger on the left than the right. He died one week later, and a postmortem examination was performed. By plotting the CT on templates constructed to show the different vascular territories of the thalamus, the infarctions were predicted to be in the territories of the interpeduncular profunda arteries. Comparing sagittal reconstructions to the Schaltenbrand and Wahren atlas, the following thalamic nuclei were thought to be involved: dorsomedial, parafascicular, and centrum medianum bilaterally; and reticular, ventroanterior, and ventrolateral on the left. Pathologic study confirmed these findings. We believe that it is possible to predict the vascular territory of thalamic infarctions by plotting the CT on templates showing the different vascular territories of the thalamus. Sagittal reconstructions of CT scans also permit the determination of thalamic nuclei involved in a lesion.

Original languageEnglish (US)
Pages (from-to)761-763
Number of pages3
JournalArchives of neurology
Volume42
Issue number8
DOIs
StatePublished - Aug 1985

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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