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Artery of Percheron infarction: a rare cause of somnolence in a patient with sepsis and atrial fibrillation.

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Artery of Percheron (AOP) occlusion is a rare cause of ischemic stroke characterized by bilateral para-median thalamic infarcts. It usually presents with altered mental status, hyper-somnolence and ocular movement disorders. Here, we report a case of cardio-embolic AOP infarction in a 72-year-old

[Diagnostic accuracy of Epworth sleepiness scale in the acute phase of myocardial infarction].

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BACKGROUND Obstructive sleep apnea syndrome (OSAS) is underdiagnosed in cardiologist daily practice, especially in patients with acute coronary syndrome. Its diagnosis is based on a polysomnography study. The Epworth Sleepiness Scale (ESS) stands as a simple and rapid means to select patients for

Bilateral anterior choroidal artery infarction presenting with progressive somnolence.

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A 55-year-old woman was admitted with a 3 days history of increasing lethargy with bradyphrenia and apathy. She progressively developed severe somnolence with marked abulia, right hemiparesis, right hemianopsia, and pseudobulbar palsy. Brain magnetic resonance imaging showed the rare image of

Excessive Daytime Sleepiness Independently Predicts Increased Cardiovascular Risk After Myocardial Infarction.

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BACKGROUND Excessive daytime sleepiness (EDS), a common symptom among patients with sleep-disordered breathing, is closely associated with the development of cardiovascular diseases, but its long-term prognostic value is not completely understood. The aim of this study was to investigate whether EDS

A rare differential diagnosis of excessive daytime sleepiness - Artery of Percheron territory infarct.

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Stroke is an example of neurological diseases that can commonly drives Excessive Daytime Sleepiness (EDS). Extensive strokes with brain edema can leave a brain herniation and coma. Other causes of EDS after stroke are strategic lesions at Thalamus and brainstein. A 56-year-old man, right handed,

[A case with bilateral thalamic and midbrain infarction showing prolonged somnolence and various symptoms resembling those of progressive supranuclear palsy].

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Daytime sleepiness: when is it normal? When to refer?

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Most disorders that cause daytime sleepiness can and should be identified and treated. Physicians should recognize that excessive daytime sleepiness is a symptom with serious consequences, including higher risk of accidents and, in the case of obstructive sleep apnea, hypertension, stroke,

[Sleep apnea syndrome and cerebral infarction].

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OBJECTIVE To analyze the relationship between snoring and sleep apnea with brain infarction. METHODS We studied 79 consecutive patients of both sexes with cerebral infarction and 248 age and sex matched controls. We obtained data reflecting arterial hypertension, diabetes mellitus,

The No-apnea score vs. the other five questionnaires in screening for obstructive sleep apnea-hypopnea syndrome in patients with cerebral infarction.

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Given the growing number of patients suspected of having obstructive sleep apnea-hypopnea syndrome (OSAHS), screening methods have become increasingly important for sleep clinics. We analyzed the clinical value of the No-apnea score which is used to diagnose OSAHS in patients with

[Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI].

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Fast diagnostic evaluation of somnolent or unconscious patients is a demanding task for neurologists. Apart from postictal, metabolic, and toxic causes, vascular syndromes must be rapidly identified in order to initiate a specific fibrinolytic therapy. Given its high mortality if not treated in

Clinical-radiographic correlates of Artery of Percheron infarcts in a case series of 6 patients.

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Bilateral thalamic strokes due to Artery of Percheron (AOP) occlusion are rare but have been previously reported in the literature. It is due to a rare anatomic variant where a solitary arterial trunk from the proximal segment of either posterior cerebral artery (PCA) supplies bilateral thalami and

Nuclear third nerve palsy and somnolence due to stroke--a case report.

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We describe a 40 year-old male with a ball-cage mitral valve prosthesis who suddenly developed bilateral ptosis, bilateral dilated and unreactive pupils, right third nerve palsy, bilateral failure of vertical gaze, somnolence and mild ataxia without major motor deficits. Computed Tomography (CT)

[Brain infarct from a paradoxical embolism following a varices operation].

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METHODS A 70-year-old woman developed an acute right-sided hemiparesis and global aphasia 10 days after saphenous vein stripping of varicosities. Initially, she presented with somnolence, conjugated to the left, flexor synergism of the right extremities, exaggeration of knee and ankle jerks and

Wernicke's encephalopathy due to malnutrition and parenteral nutrition in a patient with cerebral infarction: A case report.

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Wernicke's encephalopathy (WE) is a severe neuropsychiatric disorder, which results from a nutritional deficiency of thiamine. The occurrence of WE is rarely reported in patients with cerebral infarction, who often have complications of malnutrition. Cerebral infarction is a

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

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BACKGROUND Patent foramen ovale (PFO) has been associated with cryptogenic stroke in young patients. METHODS A 27-year-old man presented with acute confusional syndrome, altered language, bradypsychia and somnolence. Brain MRI showed symmetrical bilateral thalamic infarctions probably due to

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