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Abstract
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A 47 year old male with a history of hypertension and atrial fibrillation was found unconscious by his family members. His Glasgow Coma Scale score was 8 and the left pupil was dilated and nonreactive to light with the eye deviated downwards and outwards. MRI findings were consistent with subacute infarction in bilateral thalami and left anteromedial midbrain suggesting occlusion of the artery of Percheron. Transthoracic echocardiography revealed grade 2 left ventricular diastolic dysfunction with the presence of a clot in left atrium. A diagnosis of cardioembolic stroke was made and the patient was managed conservatively with anticoagulants. |
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Keywords :
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Anticoagulants, Stroke, Hypertension, Atrial Fibrillation, Infarction.
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