Bithalamic Infarct ― Sequel of Vein of Galen and Internal Cerebral Vein Thrombosis

摘要

A 46-year-old gentleman presented with frequentvomiting and generalized weakness for one week. Hehad been diabetic and hypertensive for three yearsand was on regular oral medications with periodicfollow-up. There was no history of fever, headache,blurred vision, seizure, abdominal pain, hematemesis,melena, diarrhea or constipation. On examination, hismuscle power was 4/5 in all four limbs and sensationwas diminished in both lower limbs. Jerks werenormal and plantar response was bilaterally ?exor.No neck rigidity was present. GCS score was 15/15.He was hemodynamically stable, with normal pulse.