Clinical syndromes of a thalamic stroke in the lower lateral vascular territory: a prospective hospital-based cohort study

S.M. Vinychuk, M.M. Prokopiv, L.M. Trepet, O.Ye. Fartushna


Background. The article covers pathophysiological features and patterns of the occurrence of neurological, neuropsychological, and clinical vascular syndromes of thalamic strokes in the lower lateral vascular territory. The purpose of this study is to determine the features of clinical vascular syndromes of an acute thalamic stroke in the lower lateral vascular territory in a prospective hospital-based cohort study, providing a comprehensive clinical and neuroimaging analysis. Materials and methods. We have prospectively recruited 319 acute stroke patients, admitted within 24 hours from the onset of the stroke symptoms to the Neurological Center at an academic hospital (Oleksandrivska Clinical Hospital) in Kyiv, Ukraine. Comprehensive neurological, clinical, laboratory, ultrasound, and neuroimaging examinations were performed to all patients. Results. MRI/CT-proven thalamic stroke was diagnosed in 34 (10.6 %) of 319 patients, forming a study group. Twenty-two of 34 patients (average age 61.9 ± 10.2 years) were diagnosed with an acute isolated ischemic thalamic infarction, and 12 people (average age 59.0 ± 9.6 years) had an acute thalamic hemorrhage. Specific neurological features of clinical vascular syndromes of acute thalamic strokes in the lower lateral vascular territory were analyzed, compared, and described.


thalamus; stroke; thalamic stroke; clinical features; syndrome; vascular territory; lower lateral vascular territory

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