Achhami Eliz, Lamichhane Seshkanta, Mahaju Satyam, Adhikari Lukash, Kandel Ashim, Poudel Anubhav
Sukraraj Tropical & Infectious Disease Hospital Kathmandu Nepal.
Bir Hospital Kathmandu Nepal.
Clin Case Rep. 2023 Nov 8;11(11):e8155. doi: 10.1002/ccr3.8155. eCollection 2023 Nov.
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.
由Percheron动脉（AOP）闭塞导致的双侧丘脑梗死是一种罕见的脑血管事件，具有独特的临床表现。本病例报告探讨了血管解剖、中脑功能和临床表现之间的复杂关系。一名有糖尿病史的48岁男性农民出现突发视力障碍、复视、双侧眼睑下垂和意识丧失。包括先进成像技术在内的广泛评估导致诊断为累及AOP的双侧中脑上部梗死。本病例强调了神经血管相互作用的复杂性，突出了精确诊断和针对性管理在处理罕见脑血管疾病中的重要性。
