一名Percheron动脉闭塞延迟诊断且血栓切除术有效的患者。
A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective.
作者信息
Iwasaki Mitsuhiro, Hikita Chiyoe, Maeda Masahiro, Inaka Yasufumi, Yamazaki Hidekazu, Fukuta Shinya, Sato Hiroaki, Morimoto Masafumi
机构信息
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan.
Department of Neurology, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan.
出版信息
J Neuroendovasc Ther. 2021;15(11):725-729. doi: 10.5797/jnet.cr.2020-0144. Epub 2021 Mar 12.
OBJECTIVE
A case of posterior cerebral artery (P1 segment) occlusion with consciousness disturbance and Weber's syndrome treated by mechanical thrombectomy is reported.
CASE PRESENTATION
The patient was a 69-year-old man with consciousness disturbance, left hemiparesis, and anisocoria. MRI revealed acute cerebral infarction in the midbrain and right thalamus. Angiography demonstrated that the right P1 segment was occluded and mechanical thrombectomy was performed. The right P1 segment and its perforator artery, the artery of Percheron (AOP), were both recanalized after the treatment, and the symptoms of perforator occlusion significantly improved.
CONCLUSION
Mechanical thrombectomy for P1 segment occlusion may be effective for improving the symptoms caused by occlusion of its perforator, the AOP.
目的
报道1例采用机械取栓术治疗的大脑后动脉（P1段）闭塞伴意识障碍及Weber综合征的病例。
病例介绍
患者为一名69岁男性，伴有意识障碍、左侧偏瘫和瞳孔不等大。MRI显示中脑和右丘脑急性脑梗死。血管造影显示右侧P1段闭塞，遂行机械取栓术。治疗后右侧P1段及其穿支动脉、Percheron动脉（AOP）均再通，穿支闭塞症状明显改善。
结论
P1段闭塞的机械取栓术可能对改善其穿支动脉即AOP闭塞所致症状有效。
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