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Artery of Percheron infarct

Case contributed by Dr C. Igler

Presentation

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

Patient Data

Age: 30 years
Gender: Female
MRI

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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Case information

rID: 40966
Published: 9th Nov 2015
Last edited: 4th Jan 2020
Inclusion in quiz mode: Included

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