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미세색전신호를 동반한 Percheron동맥 관련 양측성 시상경색증

Bilateral Thalamic Infarction Related to Artery of Percheron with Microembolic Signal

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초록

The artery of Percheron (AOP) is an uncommon variant of the posterior cerebral artery that supplies blood to the paramedian thalamus and rostral midbrain. AOP is often difficult to recognize with intracranial magnetic resonance angiography due to its small size. Although a number of case reports of AOP occlusion have been published, cause of the occlusion is mostly unclear. We experienced a case of AOP occlusion which resulted in bilateral thalamic infarction. It was most likely caused by a microembolism through right-left shunt.

Abstract

The artery of Percheron (AOP) is an uncommon variant of the posterior cerebral artery that supplies blood to the paramedian thalamus and rostral midbrain. AOP is often difficult to recognize with intracranial magnetic resonance angiography due to its small size. Although a number of case reports of AOP occlusion have been published, cause of the occlusion is mostly unclear. We experienced a case of AOP occlusion which resulted in bilateral thalamic infarction. It was most likely caused by a microembolism through right-left shunt.

참고문헌 (7)

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  4. Musa J, "Artery of Percheron infarction : a case report and literature review", Radiol Case Rep, 16, pp.1271~1275 (2021)
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  6. Lao AY, "Detection of right-to-left shunts : comparison between the international consensus and Spencer logarithmic scale criteria", J Neuroimaging, 18, pp.402~406 (2008)
  7. Kim BJ, "Provoked right-to-left shunt in patent foramen ovale associates with ischemic stroke in posterior circulation", Stroke, 45, pp.3707~3710 (2014)

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