Artery of Percheron infarct

Case contributed by Christof Igler


Headache, altered level of consciousness, impaired awareness for time.

Patient Data

Age: 30 years
Gender: Female

MRI Brain (selected images)


Bithalamic diffusion restriction in DWI.

FLAIR shows corresponding bilateral hyperintensity.

Artery of Percheron originating from the right P1 can be seen in the TOF-angiography.

Case Discussion

Artery of Percheron infarct is a type of posterior circulation infarction that occurs in the presence of a solitary arterial trunk (aka artery of Percheron) that supplies blood to the paramedian thalami and the rostral midbrain bilaterally.

A patent foramen ovale was diagnosed in the transesophageal echocardiography. 



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