AI Article Synopsis
- A 41-year-old patient experienced bilateral thalamic hemorrhage resulting in death, with post-mortem findings indicating acute myocarditis.
- Neuropathological analysis revealed inflammatory infiltrates in the thalamus, but no specific infectious agent was identified in lab tests.
- The authors suggest a potential infectious agent could be behind both heart and thalamic issues, with diaschisis possibly contributing to the patient's coma and subsequent death.
Article 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.
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| http://dx.doi.org/10.1016/j.jcfm.2004.04.009 | DOI Listing |
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