大脑后动脉丘脑穿通支梗死
Artery of Percheron Infarction.
作者信息
Vinod K V, Kaaviya R, Arpita Bhaumik
机构信息
Department of General Medicine, Puducherry, India.
Department of Radiodiagnosis, JIPMER, Puducherry, India.
出版信息
Ann Neurosci. 2016 Jul;23(2):124-6. doi: 10.1159/000443570. Epub 2016 Jul 7.
Abstract
Artery of Percheron (AOP) occlusion is a rare cause of ischemic stroke characterized by bilateral paramedian thalamic infarcts, with or without mesencephalic infarction. Clinically it presents with mental state disturbances, hypersomnolence, aphasia/dysarthria, amnesia and ocular movement disorders, including vertical gaze palsy. Here, we report a case of cardioembolic AOP infarction in a 37-year-old woman with rheumatic mitral valvular stenosis. This case is being reported to highlight the interesting clinical and neuroimaging features of this rare condition, and the differential diagnosis of AOP infarction on imaging have been discussed.
摘要
Percheron动脉（AOP）闭塞是缺血性卒中的罕见病因，其特征为双侧丘脑旁正中梗死，可伴有或不伴有中脑梗死。临床上表现为精神状态紊乱、嗜睡、失语/构音障碍、失忆以及眼球运动障碍，包括垂直凝视麻痹。在此，我们报告一例患有风湿性二尖瓣狭窄的37岁女性发生心源性栓塞性AOP梗死的病例。报告该病例是为了突出这种罕见疾病有趣的临床和神经影像学特征，并讨论了AOP梗死在影像学上的鉴别诊断。
相似文献
1
Artery of Percheron Infarction.
Ann Neurosci. 2016 Jul;23(2):124-6. doi: 10.1159/000443570. Epub 2016 Jul 7.
2
Bilateral Thalamic Ischemic Stroke Secondary to Occlusion of the Artery of Percheron.
Cureus. 2018 May 23;10(5):e2676. doi: 10.7759/cureus.2676.
3
Acute Onset of Hypersomnolence and Aphasia Secondary to an Artery of Percheron Infarct and a Proposed Emergency Room Evaluation.
Case Rep Emerg Med. 2019 Apr 8;2019:1260865. doi: 10.1155/2019/1260865. eCollection 2019.
4
Clinical Analysis of Bilateral Thalamic Infarction Caused by Percheron Artery Occlusion.
Neuropsychiatr Dis Treat. 2021 May 28;17:1707-1712. doi: 10.2147/NDT.S296685. eCollection 2021.
5
Artery of Percheron infarction presenting as nuclear third nerve palsy and transient loss of consciousness: a case report.
BMC Neurol. 2020 Aug 28;20(1):320. doi: 10.1186/s12883-020-01889-9.
6
Prevalence, clinical features, and radiological pattern of artery of Percheron infarction: a challenging diagnosis.
Neurol Sci. 2023 Jul;44(7):2413-2419. doi: 10.1007/s10072-023-06681-4. Epub 2023 Feb 17.
7
Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with a patent foramen ovale.
J Nat Sci Biol Med. 2016 Jan-Jun;7(1):109-12. doi: 10.4103/0976-9668.175108.
8
Artery of Percheron infarction a rare anatomical variant and a diagnostic challenge: Case report.
Radiol Case Rep. 2020 Oct 28;16(1):22-29. doi: 10.1016/j.radcr.2020.10.032. eCollection 2021 Jan.
9
Artery of Percheron Ischaemic Stroke: A Classic Presentation of a Rare Case.
Eur J Case Rep Intern Med. 2021 Dec 3;8(12):003045. doi: 10.12890/2021_003045. eCollection 2021.
10
Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report.
Ann Rehabil Med. 2016 Aug;40(4):751-6. doi: 10.5535/arm.2016.40.4.751. Epub 2016 Aug 24.
引用本文的文献
1
Artery of Percheron Infarction Presenting As Altered Consciousness in an Elderly Patient: A Case Report.
Cureus. 2025 Jul 9;17(7):e87588. doi: 10.7759/cureus.87588. eCollection 2025 Jul.
2
Navigating Through the Diagnostic Challenges Involved in Artery of Percheron Infarction in a Young Stroke Patient.
Cureus. 2025 Feb 2;17(2):e78378. doi: 10.7759/cureus.78378. eCollection 2025 Feb.
3
Navigating the clinical landscape of artery of Percheron infarction: A systematic review.
eNeurologicalSci. 2024 Aug 21;37:100521. doi: 10.1016/j.ensci.2024.100521. eCollection 2024 Dec.
4
Acute percheron infarction: a precision learning.
BMC Neurol. 2022 Jun 4;22(1):207. doi: 10.1186/s12883-022-02735-w.
5
Posterior circulation ischaemic stroke-a review part I: anatomy, aetiology and clinical presentations.
Neurol Sci. 2019 Oct;40(10):1995-2006. doi: 10.1007/s10072-019-03977-2. Epub 2019 Jun 20.
6
Acute Infarction in the Artery of Percheron Distribution during Cerebral Angiography: A Case Report and Literature Review.
J Radiol Case Rep. 2018 Jul 31;12(7):1-9. doi: 10.3941/jrcr.v12i7.3318. eCollection 2018 Jul.
7
A rare case of ruptured aneurysm of the paramedian artery of Percheron.
Interv Neuroradiol. 2018 Oct;24(5):509-512. doi: 10.1177/1591019918775953. Epub 2018 May 16.
8
Degeneration of paramedian nuclei in the thalamus induces Holmes tremor in a case of artery of Percheron infarction.
Medicine (Baltimore). 2017 Nov;96(46):e8633. doi: 10.1097/MD.0000000000008633.
9
Clinical Features of Thalamic Stroke.
Curr Treat Options Neurol. 2017 Feb;19(2):5. doi: 10.1007/s11940-017-0441-x.
本文引用的文献
1
Bilateral thalamic infarcts due to occlusion of the Artery of Percheron and discussion of the differential diagnosis of bilateral thalamic lesions.
J Radiol Case Rep. 2013 Jul 1;7(7):7-14. doi: 10.3941/jrcr.v7i7.961. eCollection 2013 Jul.
2
Clinical spectrum of artery of Percheron infarct: clinical-radiological correlations.
J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):1083-8. doi: 10.1016/j.jstrokecerebrovasdis.2013.09.011. Epub 2013 Oct 19.
3
Susceptibility-weighted imaging in differentiating bilateral medial thalamic venous and arterial infarcts.
Neurol India. 2010 Jul-Aug;58(4):615-7. doi: 10.4103/0028-3886.68670.
4
Artery of percheron infarction: imaging patterns and clinical spectrum.
AJNR Am J Neuroradiol. 2010 Aug;31(7):1283-9. doi: 10.3174/ajnr.A2044. Epub 2010 Mar 18.
5
Artery of Percheron thrombolysis.
AJNR Am J Neuroradiol. 2007 May;28(5):870-1.
6
Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts.
AJNR Am J Neuroradiol. 2003 Nov-Dec;24(10):2005-8.
7
Bilateral thalamic infarction. Clinical, etiological and MRI correlates.
Acta Neurol Scand. 2001 Jan;103(1):35-42. doi: 10.1034/j.1600-0404.2001.00141.x.
Zotero 插件