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Percheron동맥 폐색에 의한 양측 정중곁시상뇌경색

Bilateral Paramedian Thalamic Infarction due to Occlusion of Artery of Percheron

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초록

The thalamic vascular supply is categorized into the anterior, paramedian, inferolateral, and posterior territories. The artery of Percheron (AOP), a solitary trunk that is an uncommon anatomic variant, provides bilateral arterial supply to the paramedian thalami and the rostral midbrain. Occlusion of this artery results in bilateral thalamic and mesencephalic infarctions. The case described herein is of a patient with AOP who presented with the sudden onset of lethargy.

Abstract

The thalamic vascular supply is categorized into the anterior, paramedian, inferolateral, and posterior territories. The artery of Percheron (AOP), a solitary trunk that is an uncommon anatomic variant, provides bilateral arterial supply to the paramedian thalami and the rostral midbrain. Occlusion of this artery results in bilateral thalamic and mesencephalic infarctions. The case described herein is of a patient with AOP who presented with the sudden onset of lethargy.

참고문헌 (8)

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  2. Mattle HP, "Basilar artery occlusion", Lancet Neurol, 10, pp.1002~1014 (2011)
  3. Lopez-Serna R, "Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with patent foramen ovale : a case report", J Med Case Rep, 3, pp.7392~ (2009)
  4. Kostanian V, "Artery of Percheron thrombolysis", AJNR Am J Neuroradiol, 28, pp.870~871 (2007)
  5. Roitberg BZ, "Bilateral paramedian thalamic infarct in the presence of an unpaired thalamic perforating artery", Acta Neurochir, 144, pp.301~304 (2002)
  6. Kumral E, "Bilateral thalamic infarction. Clinical, etiological and MRI correlates", Acta Neurol Scand, 103, pp.35~42 (2001)
  7. Lazzaro NA, "Artery of percheron infarction : Imaging patterns and clinical spectrum", AJNR Am J Neuroradiol, 31, pp.1283~1289 (2010)
  8. Krampla W, "Ischaemic stroke of the artery of percheron(2007 : 10b)", Eur Radiol, 18, pp.192~194 (2008)

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