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大脑后动脉丘脑穿通动脉在脑缺血中的临床意义:综述

The clinical significance of artery of Percheron in cerebral ischemia: a summary overview.

作者信息

Kashif Muhammad, Hamed Ahmad, Bozkurt Ismail, Montemurro Nicola, Chaurasia Bipin

机构信息

Midwestern University, Glendale, Arizona, USA.

Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey.

出版信息

Ann Med Surg (Lond). 2025 May 30;87(7):4310-4315. doi: 10.1097/MS9.0000000000003439. eCollection 2025 Jul.

Abstract

The artery of Percheron (AOP) infarction is a rare vascular condition and a pattern of ischemia where a single arterial trunk supplies blood to the rostral midbrain and paramedian thalamic areas, causing neurological deficits. Due to its rarity and atypical presentation, AOP infarction is frequently overlooked in initial assessments, particularly on computed tomography (CT) scans. In addition, different types of AOP infarction have been identified, and it is shown that there can be four significant distinct types of this disease, which may manifest some different symptoms and have various vascular alterations. Knowledge of these variants in the AOP multisystem disorder is imperative to the diagnosis and treatment of infarctions in the condition, hence improving prognosis. To manage this uncommon but important condition, we need to increase awareness among healthcare providers and carry out more research on diagnosis and treatment.

摘要

大脑脚间动脉梗死是一种罕见的血管疾病,是一种缺血模式,即单一动脉干向中脑前部和丘脑旁正中区域供血,导致神经功能缺损。由于其罕见性和非典型表现,大脑脚间动脉梗死在初始评估中常被忽视,尤其是在计算机断层扫描(CT)中。此外,已经确定了不同类型的大脑脚间动脉梗死,结果显示这种疾病有四种明显不同的类型,可能表现出一些不同的症状并伴有各种血管改变。了解大脑脚间动脉多系统疾病的这些变体对于该疾病梗死的诊断和治疗至关重要,从而改善预后。为了应对这种罕见但重要的疾病,我们需要提高医疗服务提供者的认识,并开展更多关于诊断和治疗的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7423/12369765/fbdffffb9c53/ms9-87-4310-g001.jpg

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