Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review

Abstract Bilateral thalamic infarction resulting from the occlusion of the artery of Percheron (AOP) is a rare cerebrovascular event with distinctive clinical presentations. This case report explores the intricate relationship between vascular anatomy, midbrain function, and clinical manifestations....

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Main Authors: Eliz Achhami, Seshkanta Lamichhane, Satyam Mahaju, Lukash Adhikari, Ashim Kandel, Anubhav Poudel
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8155
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author Eliz Achhami
Seshkanta Lamichhane
Satyam Mahaju
Lukash Adhikari
Ashim Kandel
Anubhav Poudel
author_facet Eliz Achhami
Seshkanta Lamichhane
Satyam Mahaju
Lukash Adhikari
Ashim Kandel
Anubhav Poudel
author_sort Eliz Achhami
collection DOAJ
description Abstract Bilateral thalamic infarction resulting from the occlusion of the artery of Percheron (AOP) is a rare cerebrovascular event with distinctive clinical presentations. This case report explores the intricate relationship between vascular anatomy, midbrain function, and clinical manifestations. A 48‐year‐old male farmer with a history of diabetes mellitus presented with sudden‐onset visual disturbances, diplopia, bilateral eyelid drooping, and loss of consciousness. Extensive evaluations, including advanced imaging techniques, led to the diagnosis of bilateral upper midbrain infarction involving AOP. This case underscores the complexity of neurovascular interactions, highlighting the importance of precise diagnosis, and tailored management in addressing rare cerebrovascular conditions.
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spelling doaj.art-64ec12e4aaae40f287fc94d9e12b59e72023-11-28T04:14:45ZengWileyClinical Case Reports2050-09042023-11-011111n/an/a10.1002/ccr3.8155Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature reviewEliz Achhami0Seshkanta Lamichhane1Satyam Mahaju2Lukash Adhikari3Ashim Kandel4Anubhav Poudel5Sukraraj Tropical & Infectious Disease Hospital Kathmandu NepalBir Hospital Kathmandu NepalSukraraj Tropical & Infectious Disease Hospital Kathmandu NepalPatan Academy of Health Sciences Lalitpur NepalSukraraj Tropical & Infectious Disease Hospital Kathmandu NepalSukraraj Tropical & Infectious Disease Hospital Kathmandu NepalAbstract Bilateral thalamic infarction resulting from the occlusion of the artery of Percheron (AOP) is a rare cerebrovascular event with distinctive clinical presentations. This case report explores the intricate relationship between vascular anatomy, midbrain function, and clinical manifestations. A 48‐year‐old male farmer with a history of diabetes mellitus presented with sudden‐onset visual disturbances, diplopia, bilateral eyelid drooping, and loss of consciousness. Extensive evaluations, including advanced imaging techniques, led to the diagnosis of bilateral upper midbrain infarction involving AOP. This case underscores the complexity of neurovascular interactions, highlighting the importance of precise diagnosis, and tailored management in addressing rare cerebrovascular conditions.https://doi.org/10.1002/ccr3.8155artery of Percheronbilateral thalamic infarctionclinical impactmidbrain functionneurovascular complexity
spellingShingle Eliz Achhami
Seshkanta Lamichhane
Satyam Mahaju
Lukash Adhikari
Ashim Kandel
Anubhav Poudel
Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review
Clinical Case Reports
artery of Percheron
bilateral thalamic infarction
clinical impact
midbrain function
neurovascular complexity
title Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review
title_full Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review
title_fullStr Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review
title_full_unstemmed Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review
title_short Bilateral thalamic stroke due to occlusion of the artery of Percheron: A case report and literature review
title_sort bilateral thalamic stroke due to occlusion of the artery of percheron a case report and literature review
topic artery of Percheron
bilateral thalamic infarction
clinical impact
midbrain function
neurovascular complexity
url https://doi.org/10.1002/ccr3.8155
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