Artery of Percheron Infarct: An Acute Diagnostic Challenge with a Spectrum of Clinical Presentations.
Autor: | Khanni JL; Clinical Biomedical Science, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA., Casale JA; Internal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA., Koek AY; Clinical Biomedical Science, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA., Espinosa Del Pozo PH; Neurosciences, Universidad Central Del Ecuador, Quito, ECU., Espinosa PS; Neurology, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, USA. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2018 Sep 10; Vol. 10 (9), pp. e3276. Date of Electronic Publication: 2018 Sep 10. |
DOI: | 10.7759/cureus.3276 |
Abstrakt: | The artery of Percheron (AOP) is a variant of the paramedian thalamic vasculature that supplies blood to the medial aspect of the thalamus and the rostral midbrain. The presentation of an infarct in this territory varies widely and is often characterized by nonspecific neurological deficits, with altered mental status, decreased level of consciousness, and memory impairment being among the most common. AOP infarcts are often missed on initial computed tomography (CT) scan, and additional imaging is usually not done due to low suspicion for stroke in most cases. There have been an increasing number of reports of AOP infarction, illustrating the diversity of clinical presentations and the challenge this presents to clinicians in the acute setting. Lacking the classic signs of stroke, many of these patients experience a delay in recognition and treatment, with the majority of diagnoses occurring outside the tissue plasminogen activator (tPA) window. This case highlights the unusual presentation and diagnostic difficulty of a patient with an AOP infarct, and serves as a reminder to include thalamic pathology in patients presenting with vague neurological symptoms and no obvious signs of stroke. Competing Interests: The authors have declared that no competing interests exist. |
Databáze: | MEDLINE |
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