• Gac Med Mex · Jan 2010

    Case Reports

    [Acute bilateral thalamic infarcts in a young man with patent foramen ovale].

    • Venice Chávez-Valencia and Elizabeth Soto-Cabrera.
    • Medicina Interna, Hospital Central Sur de Alta Especialidad Pemex, México D.F., México. drvenicechv@yahoo.com.mx
    • Gac Med Mex. 2010 Jan 1; 146 (1): 55-8.

    BackgroundPatent foramen ovale (PFO) has been associated with cryptogenic stroke in young patients.Clinical CaseA 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.ConclusionsCerebrovascular disease is a frequent cause of disability and even death in young patients, and thus its medical approach should be emphasized.

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