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Case Reports in Neurological Medicine
Volume 2013 (2013), Article ID 704952, 3 pages
Case Report

Bilateral Paramedian Thalamic Infarction Initially Presenting as a Convulsive Seizure

Department of Neurology, The Fifth Affiliated Hospital of Zhengzhou University, Henan, Zhengzhou 450052, China

Received 18 March 2013; Accepted 14 May 2013

Academic Editors: A. Amirjamshidi, S. T. Gontkovsky, J. L. González-Gutiérrez, and Y. Wakabayashi

Copyright © 2013 Jianping Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Bithalamic infarctions initially presenting as a convulsive seizure are rarely reported and, to our best knowledge, have never been reported in China. Here, we present a patient with convulsive seizure at the onset of bilateral paramedian thalamic infarction. The diffusion-weighted imaging revealed that the infarct area is supplied by Percheron artery. Associated with the relationship between seizure and centrencephalic system and reticular formation as previously reported, we suggest that seizure could be the onset symptom of paramedian thalamic infarction. Physicians should recognize this condition, because both seizure control and early ischemic stroke management are required.