Bilateral thalamic infarct involving artery of Percheron: a case report

Bilateral thalamic infarct involving artery of Percheron: a case report

The thalamus and the midbrain have marked variations and overlapping in their blood supply; one of those variations is the artery of Percheron. Artery of Percheron occlusion is a rare cause of infarction in the bilateral thalamus and midbrain. In this case, a 60-year-old female with chronic hyperten...

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Veröffentlicht in:Annals of medicine and surgery 2023-09, Vol.85 (9), p.4613-4618
Hauptverfasser: Bhattarai, Himal Bikram, Dahal, Subid Raj, Uprety, Manish, Bhattarai, Madhur, Bhattarai, Aseem, Oli, Rabindra, Devkota, Sijuka, Sah, Sanjit Kumar, Parajuli, Suraj, Limbu, Chandra Prakash
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container_end_page 4618
container_issue 9
container_start_page 4613
container_title Annals of medicine and surgery
container_volume 85
creator Bhattarai, Himal Bikram
Dahal, Subid Raj
Uprety, Manish
Bhattarai, Madhur
Bhattarai, Aseem
Oli, Rabindra
Devkota, Sijuka
Sah, Sanjit Kumar
Parajuli, Suraj
Limbu, Chandra Prakash
description The thalamus and the midbrain have marked variations and overlapping in their blood supply; one of those variations is the artery of Percheron. Artery of Percheron occlusion is a rare cause of infarction in the bilateral thalamus and midbrain. In this case, a 60-year-old female with chronic hypertension presented with unconsciousness, motor impairments, and oculomotor disorders. Due to highly variable clinical manifestations and possible negative findings during initial imaging, these conditions are often overlooked, causing delays in therapeutic intervention and leading to bad patient prognosis. Various imaging techniques can be used for diagnosis and treatment should be started early. The treatment aims to promote recanalization as soon as possible and prevent future episodes. The involvement of the midbrain is unfavourable. Early clinical assessment and neuroimaging are vital for timely diagnosis and early administration of therapeutic measures for better patient prognosis.
doi_str_mv 10.1097/MS9.0000000000001092
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title Bilateral thalamic infarct involving artery of Percheron: a case report
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