A syndrome of bilateral hemorrhage of the thalamus and myocarditis with fatal course

Journal of Clinical Forensic Medicine
A MalandriniM Di Paolo

Abstract

We report the case of a 41-year-old patient with bilateral hemorrhage of the thalamus, leading to death. Post-mortem examination showed acute myocarditis. Neuropathological study showed perivascular infiltrates in affected thalamic regions. Laboratory investigation failed to find any causal agent. We hypothesize an infective agent, affecting the heart and thalamus, as the cause of this syndrome. Diaschisis due to the strategic anatomical position of the thalamus may have been responsible for coma state and death.

References

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Citations

Jan 1, 2009·BMJ Case Reports·Jesus PerezCalixto Machado
Nov 21, 2007·Pediatric Neurology·Beatriz San MillanCarmen Navarro

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