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双侧丘脑梗死:佩谢龙区。

Bilateral thalamic infarcts: Percheron territory.

作者信息

Lahnine Ghita, Abdourabbih Younes, El Bouardi Nizar, Haloua Meryem, Alami Badreddine, Lamrani My Youssef Alaoui, Boubbou Meryem, Maaroufi Mustapha

机构信息

Radiology Department, CHU Hassan II, Fès, Morocco.

出版信息

Radiol Case Rep. 2024 Jan 13;19(4):1344-1350. doi: 10.1016/j.radcr.2023.12.024. eCollection 2024 Apr.

DOI:10.1016/j.radcr.2023.12.024
PMID:38292802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10825914/
Abstract

Blood supply to the human thalami is complex and multiple variants exist. The artery of Percheron is one of those variants and is characterized by a solitary arterial trunk that branches from one of the proximal segments of either posterior cerebral artery and sup- plies blood to the paramedian thalami. Its occlusion results in bilateral paramedian thalamic infarction sometimes extending to the midbrain. We report a case of bithalamic infarction secondary to occlusion of the artery of Percheron. We will illustrate the complex clinical symptomatology and underscore the role of imaging, especially MRI, for diagnosis.

摘要

人类丘脑的血液供应复杂,存在多种变异情况。佩谢隆动脉就是其中一种变异,其特征是有一个单独的动脉干,从大脑后动脉近端的某一段分支出来,为双侧丘脑旁正中区域供血。它的闭塞会导致双侧丘脑旁正中梗死,有时还会延伸至中脑。我们报告一例因佩谢隆动脉闭塞继发的双侧丘脑梗死病例。我们将阐述其复杂的临床症状,并强调影像学检查,尤其是磁共振成像(MRI)在诊断中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/5845aeea814e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/8a19fe672eca/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/f9a2dfea63c4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/619a66a4d42e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/3f7c99b84916/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/b8317c95c7d2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/5845aeea814e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/8a19fe672eca/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/f9a2dfea63c4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/619a66a4d42e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/3f7c99b84916/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/b8317c95c7d2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0e3/10825914/5845aeea814e/gr6.jpg

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本文引用的文献

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Artery of Percheron Infarction: A Case Report of Bilateral Thalamic Stroke Presenting with Acute Encephalopathy.大脑后动脉丘脑穿通支梗死:一例以急性脑病为表现的双侧丘脑卒中病例报告
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2
Artery of Percheron Stroke: A Case Report With a Diagnostic Challenge.双侧丘脑穿通动脉梗死:一例具有诊断挑战的病例报告
Cureus. 2022 Feb 5;14(2):e21939. doi: 10.7759/cureus.21939. eCollection 2022 Feb.
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Artery of Percheron Infarction: A Short Review.大脑后动脉丘脑穿通支梗死:简短综述。
Cureus. 2025 Feb 2;17(2):e78378. doi: 10.7759/cureus.78378. eCollection 2025 Feb.
J Investig Med High Impact Case Rep. 2019 Jan-Dec;7:2324709619867355. doi: 10.1177/2324709619867355.
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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: review of literature with a case report.大脑后动脉丘脑穿通动脉梗死:文献复习及病例报告
Radiol Oncol. 2015 Mar 25;49(2):141-6. doi: 10.2478/raon-2014-0037. eCollection 2015 Jun.
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Bilateral paramedian thalamic artery infarcts: report of 10 cases.双侧旁正中丘脑动脉梗死:10 例报告。
J Stroke Cerebrovasc Dis. 2010 Jul-Aug;19(4):283-9. doi: 10.1016/j.jstrokecerebrovasdis.2009.07.003.
7
Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with patent foramen ovale: a case report.卵圆孔未闭患者因Percheron动脉闭塞导致双侧丘脑梗死:一例报告
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