Artery of Percheron Ischaemic Stroke: A Classic Presentation of a Rare Case
  • Miguel Santos
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal
  • Ana Rita Rodrigues
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal
  • Ana Albuquerque
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal
  • Flávia Santos
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal
  • Adriana Bandeira
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal
  • Miriam Magalhães
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal
  • Maria Jesus Banza
    Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal

Keywords

Ischaemic stroke, artery of Percheron, memory loss, vertical gaze palsy, altered mental status

Abstract

The artery of Percheron (AoP) is a rare anatomic variant, where the paramedian thalami and the rostral midbrain are supplied by an artery emerging from the P1 segment of the posterior cerebral artery. Ischaemic infarction of the artery of Percheron occurs rarely, accounting for 0.1 to 2% of all ischaemic strokes. AoP occlusion can lead to an infarction of the paramedian thalami and mesencephalon, resulting in a triad of clinical features; namely, altered mental status, vertical gaze palsy and memory impairment. A larger mesencephalon infarction can also feature oculomotor disturbances. We describe here the case of an 88-year-old patient, presenting with this triad of features.

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References

  • Kichloo A, Jamal SM, Zain EA, Wani F, Vipparala N. Artery of Percheron infarction: a short review. J Investig Med High Impact Case Rep 2019;7:2324709619867355.
  • Lazzaro NA, Wright B, Castillo M, Fischbein NJ,Glastonbury CM, Hildenbrand PG, et al. Artery of Percheron infarction: imaging patterns and clinical spectrum. Am J Neuroradiol 2010;31(7):1283–1289.
  • Sasi S, Ahmed A, Yousuf W, Vattoth S. Artery of Percheron infarct: arare presentation of acute ischemic stroke in a high-risk antiphospholipid syndrome patient. Case Rep Acute Med 2020;3:46–52.

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    Published: 2021-12-03
    Issue: 2021: Vol 8 No 12 (view)

    How to cite:
    1.
    Santos M, Rodrigues AR, Albuquerque A, Santos F, Bandeira A, Magalhães M, Banza MJ. Artery of Percheron Ischaemic Stroke: A Classic Presentation of a Rare Case. EJCRIM 2021;8 doi:10.12890/2021_003045.

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