Case Report
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Infarction of Percheron artery: A rare case report

Year 2019, Volume 3, Issue 4, 338 - 340, 28.04.2019
https://doi.org/10.28982/josam.511623

Abstract

The thalamus has strategic cores, which are divided into different functional classes and manage important cortical functions in harmony with each other. The mechanism proposed in the bilateral paramedian thalamic infarction is an occlusion of a single undifferentiated thalamo-perforating artery which is an anatomic variant. This artery, called the Percheron artery, appears from the first segment of the posterior cerebral artery and gives bilateral medial thalamic perforating branches. Bilateral paramedian thalamic infarction causes specific clinical signs and symptoms such as changes in consciousness ranging from letarj to coma, vertical gaze paralysis, ocular congestion loss and amnesia. In this case we aimed to present clinical and radiological features of a rare condition with infarction of percheron artery.

References

  • 1. Schmahmann JD. Vascular syndromes of the thalamus. Stroke. 2003;34:2264–78.
  • 2. Lamot U, Ribaric I, Popovic KS. Artery of Percheron infarction: review of literature with a case report. Radiol Oncol. 2015;49(2):141-6.
  • 3. Amin OSM, Shwani SS, Zangana HM, et al. Bilateral infarction of paramedian thalami: a report of two cases of artery of Percheron occlusion and review of the literature. BMJ Case Reports. 2011;2011:bcr0920103304.
  • 4. Slamia LB, Jemaa HB, Benammou S, Tlili-Graiess K. Occlusion of the artery of Percheron: Clinical and neuroimaging correlation. Journal of Neuroradiology. 2008;35:244-5.
  • 5. Lazzaro NA, Wright B, Castillo M, et al. Artery of Percheron Infarction: Imaging Patterns and Clinical Spectrum. American Journal of Neuroradiology August. 2010;31(7):1283-9.
  • 6. Sandvig A, Lundberg S, Neuwirth J. Artery of Percheron infarction: a case report. J Med Case Rep. 2017;11(1):221.
  • 7. Matheus MG, Castillo M. İmaging of Acute Bilateral Paramedian Thalamic and Mesencephalic Infarcts. AJNR Am J Neuroradiol. 2003 Nov-Dec;24(10):2005-8.
  • 8. Smith AB, Smirniotopoulos JG, Rushing EJ, Goldstein SJ. Bilateral thalamic lesions. AJR Am J Roentgenol. 2009 Feb;192(2):W53-62. doi: 10.2214/AJR.08.1585.
  • 9. Masuhr F, Mehraein S, Einhaupl K. Cerebral Venous and Sinus Thrombosis. J Neurol. 2004 Jan;251(1):11-23.
  • 10. Yoshikava T, Abe O, Tsuchiya K, Okubo T, Tobe K, Masumoto T, et al. Diffusion-weighted magnetic resonance imaging of dural sinus thrombosis. Neuroradiology. 2002 Jun;44(6):481-8.
  • 11. Zappella N, Merceron S, Nifle C, et al. Artery of Percheron Infarction as an Unusual Cause of Coma:Three Cases and Literature Review. Neurocrit Care. 2014 Jun;20(3):494-501.
  • 12. Jiménez Caballero PE. Bilateral paramedian thalamic artery infarcts: report of 10 cases. J Stroke Cerebrovasc Dis. 2010 Jul-Aug;19(4):283-9. doi: 10.1016/j.jstrokecerebrovasdis.2009.07.003.
  • 13. Nalbantoglu M, Ozturk-Tan O, Bayazıt N, Tayfun F. Percheron artery infarction in the differential diagnosis of acute confusional state with normal initial brain MRI. Acta Neurol Belg. 2016 Mar;116(1):73-5. doi: 10.1007/s13760-015-0505-1.
  • 14. Cassourret G, Prunet B, Sbardella F, Bordes J, Maurin O, Boret H. Ischemic Stroke of the Artery of Percheron with Normal Initial MRI: A Case Report. Case Rep Med. 2010;2010:425734.
  • 15. Arauz A, Patiño-Rodríguez HM, Vargas-González JC, Arguelles-Morales N, Silos H, Ruiz-Franco A, et al. Clinical Spectrum of Artery of Percheron Infarct: Clinical–Radiological Correlations. J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):1083-8.

Percheron arter enfarktı: Nadir görülen bir olgu sunumu

Year 2019, Volume 3, Issue 4, 338 - 340, 28.04.2019
https://doi.org/10.28982/josam.511623

Abstract

Talamus farklı işlevsel sınıflara ayrılan ve önemli kortikal işlevleri birbiri ile uyum içerisinde yöneten stratejik çekirdeklere sahiptir. Bilateral paramedian talamik infarktta öne sürülen mekanizma bir anatomik varyant olan, santral ayrışmamış tek bir talamo-perforan arterin oklüzyonudur. Percheron arteri olarak isimlendirilen bu arter posterior serebral arterin ilk segmentinden çıkar ve bilateral medial talamik perforan dalları verir. Bilateral paramedian talamik infarkt letarjiden komaya kadar değişen bilinç değişiklikleri, vertikal bakış paralizileri, oküler konverjans kaybı ve amnezi ile karakterli spesifik klinik belirti ve bulgulara neden olur. Bu vakada, nadir görülen bir durum olan percheron arter enfarktının klinik ve radyolojik özelliklerini sunmayı amaçladık.

References

  • 1. Schmahmann JD. Vascular syndromes of the thalamus. Stroke. 2003;34:2264–78.
  • 2. Lamot U, Ribaric I, Popovic KS. Artery of Percheron infarction: review of literature with a case report. Radiol Oncol. 2015;49(2):141-6.
  • 3. Amin OSM, Shwani SS, Zangana HM, et al. Bilateral infarction of paramedian thalami: a report of two cases of artery of Percheron occlusion and review of the literature. BMJ Case Reports. 2011;2011:bcr0920103304.
  • 4. Slamia LB, Jemaa HB, Benammou S, Tlili-Graiess K. Occlusion of the artery of Percheron: Clinical and neuroimaging correlation. Journal of Neuroradiology. 2008;35:244-5.
  • 5. Lazzaro NA, Wright B, Castillo M, et al. Artery of Percheron Infarction: Imaging Patterns and Clinical Spectrum. American Journal of Neuroradiology August. 2010;31(7):1283-9.
  • 6. Sandvig A, Lundberg S, Neuwirth J. Artery of Percheron infarction: a case report. J Med Case Rep. 2017;11(1):221.
  • 7. Matheus MG, Castillo M. İmaging of Acute Bilateral Paramedian Thalamic and Mesencephalic Infarcts. AJNR Am J Neuroradiol. 2003 Nov-Dec;24(10):2005-8.
  • 8. Smith AB, Smirniotopoulos JG, Rushing EJ, Goldstein SJ. Bilateral thalamic lesions. AJR Am J Roentgenol. 2009 Feb;192(2):W53-62. doi: 10.2214/AJR.08.1585.
  • 9. Masuhr F, Mehraein S, Einhaupl K. Cerebral Venous and Sinus Thrombosis. J Neurol. 2004 Jan;251(1):11-23.
  • 10. Yoshikava T, Abe O, Tsuchiya K, Okubo T, Tobe K, Masumoto T, et al. Diffusion-weighted magnetic resonance imaging of dural sinus thrombosis. Neuroradiology. 2002 Jun;44(6):481-8.
  • 11. Zappella N, Merceron S, Nifle C, et al. Artery of Percheron Infarction as an Unusual Cause of Coma:Three Cases and Literature Review. Neurocrit Care. 2014 Jun;20(3):494-501.
  • 12. Jiménez Caballero PE. Bilateral paramedian thalamic artery infarcts: report of 10 cases. J Stroke Cerebrovasc Dis. 2010 Jul-Aug;19(4):283-9. doi: 10.1016/j.jstrokecerebrovasdis.2009.07.003.
  • 13. Nalbantoglu M, Ozturk-Tan O, Bayazıt N, Tayfun F. Percheron artery infarction in the differential diagnosis of acute confusional state with normal initial brain MRI. Acta Neurol Belg. 2016 Mar;116(1):73-5. doi: 10.1007/s13760-015-0505-1.
  • 14. Cassourret G, Prunet B, Sbardella F, Bordes J, Maurin O, Boret H. Ischemic Stroke of the Artery of Percheron with Normal Initial MRI: A Case Report. Case Rep Med. 2010;2010:425734.
  • 15. Arauz A, Patiño-Rodríguez HM, Vargas-González JC, Arguelles-Morales N, Silos H, Ruiz-Franco A, et al. Clinical Spectrum of Artery of Percheron Infarct: Clinical–Radiological Correlations. J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):1083-8.

Details

Primary Language English
Subjects General and Internal Medicine
Journal Section Case report
Authors

Fatih ATEŞ (Primary Author)
KONYA EĞİTİM VE ARAŞTIRMA HASTANESİ
0000-0002-2693-4616
Türkiye


Turgay KARA
KONYA EĞİTİM VE ARAŞTIRMA HASTANESİ
0000-0001-8448-9066
Türkiye


Halil İbrahim ŞARA This is me
KONYA EĞİTİM VE ARAŞTIRMA HASTANESİ
0000-0001-9075-9237
Türkiye


Muhammed Sami ÇOBAN This is me
KONYA EĞİTİM VE ARAŞTIRMA HASTANESİ
0000-0003-3078-0231
Türkiye


Mehmet Sedat DURMAZ
SELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RADYOLOJİ ANABİLİM DALI
0000-0002-1340-2477
Türkiye


Funda Gökgöz DURMAZ This is me
0000-0003-3043-5809
Türkiye

Publication Date April 28, 2019
Published in Issue Year 2019, Volume 3, Issue 4

Cite

Bibtex @case report { josam511623, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2019}, volume = {3}, pages = {338 - 340}, doi = {10.28982/josam.511623}, title = {Infarction of Percheron artery: A rare case report}, key = {cite}, author = {Ateş, Fatih and Kara, Turgay and Şara, Halil İbrahim and Çoban, Muhammed Sami and Durmaz, Mehmet Sedat and Durmaz, Funda Gökgöz} }
APA Ateş, F. , Kara, T. , Şara, H. İ. , Çoban, M. S. , Durmaz, M. S. & Durmaz, F. G. (2019). Infarction of Percheron artery: A rare case report . Journal of Surgery and Medicine , 3 (4) , 338-340 . DOI: 10.28982/josam.511623
MLA Ateş, F. , Kara, T. , Şara, H. İ. , Çoban, M. S. , Durmaz, M. S. , Durmaz, F. G. "Infarction of Percheron artery: A rare case report" . Journal of Surgery and Medicine 3 (2019 ): 338-340 <http://jsurgmed.com/en/pub/issue/44120/511623>
Chicago Ateş, F. , Kara, T. , Şara, H. İ. , Çoban, M. S. , Durmaz, M. S. , Durmaz, F. G. "Infarction of Percheron artery: A rare case report". Journal of Surgery and Medicine 3 (2019 ): 338-340
RIS TY - JOUR T1 - Infarction of Percheron artery: A rare case report AU - Fatih Ateş , Turgay Kara , Halil İbrahim Şara , Muhammed Sami Çoban , Mehmet Sedat Durmaz , Funda Gökgöz Durmaz Y1 - 2019 PY - 2019 N1 - doi: 10.28982/josam.511623 DO - 10.28982/josam.511623 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 338 EP - 340 VL - 3 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.511623 UR - https://doi.org/10.28982/josam.511623 Y2 - 2019 ER -
EndNote %0 Journal of Surgery and Medicine Infarction of Percheron artery: A rare case report %A Fatih Ateş , Turgay Kara , Halil İbrahim Şara , Muhammed Sami Çoban , Mehmet Sedat Durmaz , Funda Gökgöz Durmaz %T Infarction of Percheron artery: A rare case report %D 2019 %J Journal of Surgery and Medicine %P -2602-2079 %V 3 %N 4 %R doi: 10.28982/josam.511623 %U 10.28982/josam.511623
ISNAD Ateş, Fatih , Kara, Turgay , Şara, Halil İbrahim , Çoban, Muhammed Sami , Durmaz, Mehmet Sedat , Durmaz, Funda Gökgöz . "Infarction of Percheron artery: A rare case report". Journal of Surgery and Medicine 3 / 4 (April 2019): 338-340 . https://doi.org/10.28982/josam.511623
AMA Ateş F. , Kara T. , Şara H. İ. , Çoban M. S. , Durmaz M. S. , Durmaz F. G. Infarction of Percheron artery: A rare case report. J Surg Med. 2019; 3(4): 338-340.
Vancouver Ateş F. , Kara T. , Şara H. İ. , Çoban M. S. , Durmaz M. S. , Durmaz F. G. Infarction of Percheron artery: A rare case report. Journal of Surgery and Medicine. 2019; 3(4): 338-340.
IEEE F. Ateş , T. Kara , H. İ. Şara , M. S. Çoban , M. S. Durmaz and F. G. Durmaz , "Infarction of Percheron artery: A rare case report", Journal of Surgery and Medicine, vol. 3, no. 4, pp. 338-340, Apr. 2019, doi:10.28982/josam.511623

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