Mental Disorders and Illness

In patients with hyperacute infarctions, there are situations in which initial

diffusion-weighted magnetic resonance imaging (DW MRI) fails to explain the

patient's neurological status. In the present case, the patient visited the emergency room about 15 minutes after the onset of symptoms and his initial neurological status was not explained by DW MRI. We injected intravenous tissue plasminogen activator on the basis of non-enhanced brain computed tomography. However, the degrees of neurological improvement were insignifi cant and follow up DW MRI showed multiple acute infarctions in the pons, midbrain, and bilateral thalamus. A rare case of acute bilateral thalamic infarction, this article summarizes initial management and clinical outcome