Bilateral thalamic infarction caused by Percheron artery obstruction: case report
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Keywords

Bilateral thalamic infarct
Thalamus
Thalamus Ischemia
(MeSH)

Abstract

The ischemic stroke, located in the thalamus bilaterally, are a rare entity. It is estimated that only represent 0.6% of all episodes of stroke for the first time. It is known that originate from occluding an anatomical variant of the paramedian arteries, born up to 45% of cases of ACP same (posterior cerebral artery), either independently or from a common trunk.

When this variant is born from a common trunk known as artery of Percheron, and occlusion causes thalamic infarcts bilateral medial, often symmetrical, associated with thromboembolic events and cardiovascular risk factors such as hypertension, diabetes, cigarette among others, producing characteristic symptoms with impaired in the level of consciousness, as the main feature.

https://doi.org/10.22379/24224022141

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References

Percherón G. Les artères du thalamus humain.1: artère et ter-ritoire thalamiques polaires de lartère comunicante postérieure. Rev Neurol (Paris).1976;132:297-307.

Percherón G. Les artères du thalamus humain.2: artères et territories thalamiques paramédians de l'artére basilaire communicante. Rev Neurol (Paris). 1976;132:309-24.

Martínez S, León A, Serrano C, Anomalías bilaterales en ganglios basales y tálamos: caracterización semiológica mediante TC y RM, poster seram 2012/S- 0306.

Lostra J, Tempra A, García Saiz E, Valdivia Rodríguez H. Momento anatómico: la arteria de percherón importancia de su reconocimiento en resonancia magnética. [Internet]. (Ciudad): Servicio de Diagnóstico por Imágenes Hospital Privado de Comunidad; año [fecha en que fue citado]. Disponible en: www hpc.org.ar/images/revista/205-v4p66.pd.

Lamot U, Ribaric I, Popovic KS. Artery of Percheron infarction: review of literature with a case report. Radiol Oncol. 2015;49(2):141-146. https://doi.org/10.2478/raon-2014-0037

Guoliang L, Xiong Z, Beilei H, Ming Z, Songfang Ch, Yuqiang G, et al. Paramedian thalamic ischemic infarction: A retrospective clinical observation. Eur Neurol. 2017;77(3-4):197-200. https://doi.org/10.1159/000458705

Herrera S, García L, Castillo L, Shinchi M. Arteria de percheron: presentación de caso. Rev Colomb Radiol. 2011;22:(3):3305-9.

Caruso P, Manganotti P, Moretti R. Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion. Vasc Health Risk Manag. 2017;13:11-14. https://doi.org/10.2147/VHRM.S119395

Cruz C, Márquez M, Aguilar R, Romero M, et al. Síndrome de la arteria de percheron: variabilidad clínica y diagnóstico diferencial. Rev neurol. 2011;53(4): 193-200.

Vergara I, Saavedra M, Amador R, Lorenzana P, Rosselli M, Parra de Ríos L, et al. Los síndromes de lesión talámica. Acta Med Colomb. 1991;16(6):289-309.

Lazzaro NA, Wright B, Castillo M, Fischbein NJ, Glastonbury CM, Hildenbrand PG. Artery of Percheron infarction: imaging patterns and clinical spectrum, AJNR. Am J Neuroradiol. 2010;31(7):1283-89.

Kovac A, Camputaro L, CaminO J, Ramos G, Infarto talámico bilateral por obstrucción de la arteria de Percheron, Elsevier, Sociedad Neurológica Argentina, neuarg.2015.08.005.

Roitberg BZ, Tuccar E, Alp MS. Bilateral paramedian thalamic infarct on the presence of unpaired thalamic perforating artery. Acta Neurochir (Wien). 2002;144:301-4.

Teoh HL, Ah,ad A, Yeo LL, et al. Bilateral thalamic infarctions due to occlusion of artery of Percheron. J Neurol Sci. 2010;293:110-1.

Jiménez P, Bilateral Paramedian Thalamic Artery Infarcts: Report of 10 Cases; Journal of Stroke and Cerebrovascular Diseases, (July-August), 2010, Vol. 19, No. 4: pp 283-289.

Hegde A, Mohan S, Lath N, Lim TC, Differential diagnosis for bilateral abnormalities of the basal ganglia and thalamus, Radio-Graphics 2011; 31:5-30.

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