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http://dx.doi.org/10.11604/pamj.2015.22.30.7760 | DOI Listing |
Stroke
January 2025
Department of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China (H.L., J.Z.).
Cureus
November 2024
Neurology, Dalhousie University, Halifax, CAN.
This case report discusses a unique presentation of an artery of Percheron (AOP) infarct resulting in rapidly resolving internuclear ophthalmoplegia (INO) without classical signs. This is the case of a 70-year-old male patient who presented to a community Emergency Department following acute code stroke activation. Physical exam and imaging studies including non-contrast CT, CT angiography, CT perfusion, and MRI were performed.
View Article and Find Full Text PDFNeurocase
October 2024
Faculté de médecine et de pharmacie de Casablanca, Université Hassan II de Casablanca, Casablanca, MA, Morocco.
J Nippon Med Sch
November 2024
Department of Pediatrics, Nippon Medical School Chiba Hokusoh Hospital.
The artery of Percheron (AOP), a common anatomic vascular variation of the P1 segment of the posterior cerebral artery, provides arterial blood supply to the paramedian thalami and rostral midbrain. Occlusion of the AOP can lead to infarction of the bilateral paramedian thalamus, with or without midbrain involvement, but is rare in children. Here, we describe a case involving a 14-year-old girl with sudden onset of disturbance of consciousness, hypersomnia, and global aphasia.
View Article and Find Full Text PDFCureus
September 2024
Department of Neurology, Jose R. Reyes Memorial Medical Center, Manila, PHL.
Occlusion of the artery of Percheron (AOP) is a rare yet potentially disabling form of ischemic stroke resulting in infarction of the bilateral paramedian thalami and mesencephalon with variable and often atypical presentation. Given the various patterns of thalamic blood supply, recognizing the presence of AOP infarction is crucial for the diagnosis and management of ischemic strokes involving these regions. Here, we report a case of acute hemorrhagic infarction involving the bilateral thalami and the rostral mesencephalon caused by a cardioembolic occlusion of the AOP.
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