Bilateral thalamic infarction due to artery of Percheron occlusion: a case report
The artery of Percheron is a rare variant of the posterior cerebral circulation. It is characterised by a single arterial trunk that supplies blood to bilateral paramedian thalami and rostral midbrain. Its occlusion can have a very wide range of presentation, and initial imaging including CT of the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2022-01-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1664 |
| _version_ | 1797820701942480896 |
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| author | Maleeha Shah Muhammad Daniyal Nadeem Ayesha Saleem Muhammad Taimoor Khan Neelam Asghar |
| author_facet | Maleeha Shah Muhammad Daniyal Nadeem Ayesha Saleem Muhammad Taimoor Khan Neelam Asghar |
| author_sort | Maleeha Shah |
| collection | DOAJ |
| description |
The artery of Percheron is a rare variant of the posterior cerebral circulation. It is characterised by a single arterial trunk that supplies blood to bilateral paramedian thalami and rostral midbrain. Its occlusion can have a very wide range of presentation, and initial imaging including CT of the head maybe normal. Diagnosis and eventual treatment is usually delayed. We describe the case of an elderly man who presented with loss of consciousness, aphasia, and bilateral lower limb weakness. He was diagnosed with bilateral thalamic infarction due to the occlusion of the artery of Percheron only after an MRI of the brain was performed. Despite treatment his symptoms did not resolve completely.
Keywords: Thalamus/blood supply, Cerebral arteries, Magnetic Resonance Imaging.
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| first_indexed | 2024-03-13T09:43:10Z |
| format | Article |
| id | doaj.art-15db2ad1f45940bdac2743c35b32707d |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:43:10Z |
| publishDate | 2022-01-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-15db2ad1f45940bdac2743c35b32707d2023-05-25T04:23:23ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-01-01711210.47391/JPMA.1664Bilateral thalamic infarction due to artery of Percheron occlusion: a case reportMaleeha Shah0Muhammad Daniyal Nadeem1Ayesha Saleem2Muhammad Taimoor Khan3Neelam Asghar4Department of Medicine, MTI Khyber Teaching Hospital, Peshawar, PakistanDepartment of Medicine, MTI Khyber Teaching Hospital, Peshawar, PakistanDepartment of Surgery, MTI Hayatabad Medical Complex, Peshawar, PakistanDepartment of Clinical Vascular Neurology, The National Institute of Health, Islamabad, PakistanAllama Iqbal Medical College, Lahore, Pakistan The artery of Percheron is a rare variant of the posterior cerebral circulation. It is characterised by a single arterial trunk that supplies blood to bilateral paramedian thalami and rostral midbrain. Its occlusion can have a very wide range of presentation, and initial imaging including CT of the head maybe normal. Diagnosis and eventual treatment is usually delayed. We describe the case of an elderly man who presented with loss of consciousness, aphasia, and bilateral lower limb weakness. He was diagnosed with bilateral thalamic infarction due to the occlusion of the artery of Percheron only after an MRI of the brain was performed. Despite treatment his symptoms did not resolve completely. Keywords: Thalamus/blood supply, Cerebral arteries, Magnetic Resonance Imaging. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1664 |
| spellingShingle | Maleeha Shah Muhammad Daniyal Nadeem Ayesha Saleem Muhammad Taimoor Khan Neelam Asghar Bilateral thalamic infarction due to artery of Percheron occlusion: a case report Journal of the Pakistan Medical Association |
| title | Bilateral thalamic infarction due to artery of Percheron occlusion: a case report |
| title_full | Bilateral thalamic infarction due to artery of Percheron occlusion: a case report |
| title_fullStr | Bilateral thalamic infarction due to artery of Percheron occlusion: a case report |
| title_full_unstemmed | Bilateral thalamic infarction due to artery of Percheron occlusion: a case report |
| title_short | Bilateral thalamic infarction due to artery of Percheron occlusion: a case report |
| title_sort | bilateral thalamic infarction due to artery of percheron occlusion a case report |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1664 |
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