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大脑后动脉丘脑穿通动脉闭塞所致双侧丘脑梗死的临床分析

Clinical Analysis of Bilateral Thalamic Infarction Caused by Percheron Artery Occlusion.

作者信息

Chen Peng, Hao Mei-Mei, Chen Yong, Zhang Hong, Wang Zhe, Zhao Bin, Xue Yani, Chai Yumei, Huang Yong-Feng, Zhu Jiang

机构信息

Department of Neurology, The First Hospital of Yulin, Yulin, People's Republic of China.

Department of Neurology, Yan'an People's Hospital, Yan'an, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2021 May 28;17:1707-1712. doi: 10.2147/NDT.S296685. eCollection 2021.

DOI:10.2147/NDT.S296685
PMID:34093014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8169551/
Abstract

The Percheron artery (artery of Percheron, AOP) is a rare variant vessel. Its acute occlusion can cause a bilateral symmetrical thalamic stroke; typical symptoms of bilateral paramedian thalamic infarcts due to occlusion of AOP are vertical gaze palsy, memory impairment, confusion, drowsiness, hypersomnolence, or coma. We present the MR imaging findings in two cases with cerebral infarction caused by Percheron artery occlusion. Due to the difficulty in the diagnosis of acute Percheron arterial infarction, early conservative treatment is used. The prognosis of the disease is poor, with few patients completely rehabilitating. Therefore, clinicians must understand the characteristics of the disease, provide early diagnosis and administer timely and effective treatment to reduce the patient's disability rate and fatality rate and therefore improve the quality of life of patients. The patient's prognosis has extraordinary significance.

摘要

佩谢隆动脉(佩谢隆动脉,AOP)是一种罕见的变异血管。其急性闭塞可导致双侧对称性丘脑梗死;AOP闭塞所致双侧旁正中丘脑梗死的典型症状为垂直凝视麻痹、记忆障碍、意识模糊、嗜睡、过度嗜睡或昏迷。我们展示了两例由佩谢隆动脉闭塞引起的脑梗死的磁共振成像表现。由于急性佩谢隆动脉梗死诊断困难,采用早期保守治疗。该病预后较差,完全康复的患者很少。因此,临床医生必须了解该病的特点,尽早诊断并及时给予有效治疗,以降低患者的致残率和死亡率,从而提高患者的生活质量。患者的预后具有非凡的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/54e912ef4e6b/NDT-17-1707-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/5590a1c8adeb/NDT-17-1707-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/dadf74819d36/NDT-17-1707-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/1896e51fae1c/NDT-17-1707-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/dbe0510cec4d/NDT-17-1707-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/54e912ef4e6b/NDT-17-1707-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/5590a1c8adeb/NDT-17-1707-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/dadf74819d36/NDT-17-1707-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/1896e51fae1c/NDT-17-1707-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/dbe0510cec4d/NDT-17-1707-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca5/8169551/54e912ef4e6b/NDT-17-1707-g0005.jpg

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2
Assessment of Percheron infarction in images and clinical findings.影像学与临床检查对佩尔谢龙梗死的评估。
J Neurol Sci. 2017 Dec 15;383:87-92. doi: 10.1016/j.jns.2017.10.033. Epub 2017 Nov 5.
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Artery of Percheron infarction: a case report.大脑后动脉丘脑穿通动脉梗死:一例报告。
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Neurohospitalist. 2024 Jul;14(3):316-321. doi: 10.1177/19418744241230730. Epub 2024 Jan 28.
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Role of neurorehabilitation in the recovery of bilateral thalamic stroke related to the artery of Percheron anatomical variant.神经康复在与 Percheron 动脉解剖变异相关的双侧丘脑卒中恢复中的作用。
BMJ Case Rep. 2023 Sep 15;16(9):e254872. doi: 10.1136/bcr-2023-254872.
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