Official scientific distribution organ of Instituto Panvascular de Occidente
Percheron Artery Obstruction Syndrome: A Rare Case of Diffuse Bitalamic Ischemia. Case Report
PDF Reporte de Caso (Spanish)

Keywords

Percheron
Bilateral thalamic infarctions
Ischemic stroke
Percheron artery
Thalamic infarct
Clinical case

Categories

How to Cite

1.
Percheron Artery Obstruction Syndrome: A Rare Case of Diffuse Bitalamic Ischemia. Case Report. Rev Med Clin [Internet]. 2024 Mar. 25 [cited 2024 Nov. 23];8(1):e25032408003. Available from: https://medicinaclinica.org/index.php/rmc/article/view/540

Abstract

Percheron artery syndrome is a rare entity, its prevalence being unknown, with the Percheron artery being an anatomical variant of the paramedian artery in which a single perforating artery supplies both thalamic nuclei, causing a bilateral thalamic infarct when occluded. A classic clinical triad is described as: vertical gaze palsy, consciousness and cognitive-behavioral alterations, which despite being a non-specific clinical condition and the small number of cases known to medical personnel, we present a case of a woman of A 43-year-old woman who had an onset of highly varied neurological symptoms, finding the classic triad as late symptoms and confirming it by means of an imaging study after having been transferred multiple times to different medical institutions.

PDF Reporte de Caso (Spanish)

References

MP. SINDROME DE PERCHERON INFARTO TALÁMICO BILATERAL: REPORTE DE 2 CASOS. Rev médica Clín Las Condes [Internet]. 2019 [citado el 26 de julio de 2023];30(5):383–7. Disponible en: https://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-articulo-sindrome-de-percheron-infarto-talamico-S0716864019300756 Doi:10.1016/j.rmclc.2019.07.006.

Kichloo A, Jamal SM, Zain E-A, Wani F, Vipparala N. Artery of Percheron infarction: A short review. J Investig Med High Impact Case Rep [Internet]. 2019 [citado el 26 de julio de 2023];7:2324709619867355. Disponible en http://dx.doi.org/10.1177/2324709619867355

Lazzaro NA, Wright B, Castillo M, Fischbein NJ, Glastonbury CM, Hildenbrand PG, et al. Artery of percheron infarction: imaging patterns and clinical spectrum. AJNR Am J Neuroradiol [Internet]. 2010 [citado el 26 de julio de 2023];31(7):1283–9. Disponible en: http://dx.doi.org/10.3174/ajnr.A2044

Matheus MG, Castillo M. Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts. AJNR Am J Neuroradiol. 2003;24(10):2005–8. PMCID:PMC8148919

Valdivieso EP, Alcantar Villanueva H, Jaramillo Almaguer JE, Agustín Tapia K, Campos Pérez Y. Infarto bitalámico en el área de la arteria de Percheron. Rev Fac Med Univ Nac Auton Mex [Internet]. 2018 [citado el 26 de julio de 2023];61(5):21–3. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid= S0026-17422018000500021

Alejandra M, Tanya C, Calabuig I, Jose M. INFARTO TALÁMICO BILATERAL POR COMPROMISO DE LA ARTERIA DE PERCHERON [Internet]. Bvs.hn. [citado el 26 de julio de 2023]. Disponible en: http://www.bvs.hn/RMH/pdf/2017/pdf/Vol85-1-2-2017-10.pdf

Monroy S, Jimenez L, Meza N, Salcedo J. Infarto talámico bilateral por obstrucción de la arteria de Percherón: reporte de caso. Acta Neurológica Colomb [Internet]. 2017;33(2):104–14. Disponible en: http://www.scielo.org.co/pdf/anco/v33n2/0120-8748-anco-33-02-00104.pdf Doi: hhtps://doi,org/10.22379/24224022141

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2024 Fabio Abitia-Berrueta, Edith Yanayte Rodriguez-Rubio

Downloads

Download data is not yet available.