Bilateral Thalamic Stroke Following Cardiac Arrest Due to Massive Saddle Pulmonary Embolism

Bilateral thalamic infarctions are rare, but can be seen in patients experiencing occlusion or hypoperfusion. Saddle emboli can be very dangerous, leading to cardiac arrest. The occurrence of both in a single patient is an incredibly rare and dangerous entity, infrequently found in the literature. We present a case of a bilateral thalamic stroke in a 55-year-old male who experienced cardiac arrest secondary to a massive saddle pulmonary embolism. This case highlights the rare occurrence of bilateral thalamic infarction in the context of global cerebral hypoperfusion following cardiopulmonary compromise.

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Journal
Cureus
Published
2026-01-21
DOI
https://doi.org/10.7759/cureus.101964
Primary Topic
Ophthalmology and Eye Disorders
Type
article
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article

Bilateral Thalamic Stroke Following Cardiac Arrest Due to Massive Saddle Pulmonary Embolism

Abay Gobezie, Kristin N Slater, Mahburbur Sumon, Haregua Zenebe
Cureus
Ophthalmology and Eye Disorders
article

Bilateral Thalamic Stroke Following Cardiac Arrest Due to Massive Saddle Pulmonary Embolism

Abay Gobezie, Kristin N Slater, Mahburbur Sumon, Haregua Zenebe
article en

Abstract

Bilateral thalamic infarctions are rare, but can be seen in patients experiencing occlusion or hypoperfusion. Saddle emboli can be very dangerous, leading to cardiac arrest. The occurrence of both in a single patient is an incredibly rare and dangerous entity, infrequently found in the literature. We present a case of a bilateral thalamic stroke in a 55-year-old male who experienced cardiac arrest secondary to a massive saddle pulmonary embolism. This case highlights the rare occurrence of bilateral thalamic infarction in the context of global cerebral hypoperfusion following cardiopulmonary compromise.

CureusVol. 18(1)
Howard University Hospital (US)
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Openalex Percentile: Top 82%
Ophthalmology and Eye Disorders
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