DWI/FLAIR Mismatch during Hyperacute Infarction of the Percheron Artery: Time Is Thalamus!
| Autor: | Gennaro D'Anna, Lucio Tremolizzo, Valentina Francioni, Ildebrando Appollonio, Fiammetta Pirro, Matteo Cairo, Carlo Ferrarese |
|---|---|
| Přispěvatelé: | Francioni, V, Pirro, F, D'Anna, G, Cairo, M, Appollonio, I, Ferrarese, C, Tremolizzo, L |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Thalamus Infarction Fluid-attenuated inversion recovery percheron infarct Artery of Percheron lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Neuroimaging Occlusion medicine intravenous thrombolysis Intravenous thrombolysi 030212 general & internal medicine cardiovascular diseases Stroke lcsh:Neurology. Diseases of the nervous system MED/26 - NEUROLOGIA business.industry Thrombolysis dwi/flair mismatch medicine.disease medicine.anatomical_structure Neurology (clinical) Radiology business 030217 neurology & neurosurgery hyperacute infarction Single Case − General Neurology |
| Zdroj: | Case Reports in Neurology, Vol 12, Iss 1, Pp 127-130 (2020) Case Reports in Neurology |
| Popis: | The artery of Percheron (AOP) is a single dominant thalamo-perforating artery that supplies bilaterally the medial thalami with variable contribution to the rostral midbrain. Occlusion of the AOP causes indeed variable and unspecific clinical symptoms due to this complex anatomy, and very often this diagnosis is delayed with the impossibility of recurring to intravenous thrombolysis (rTPA). Here, we report a case of AOP stroke that received a prompt diagnosis and therapy, owing to the availability of MR brain scan, showing a DWI/FLAIR mismatch typical of hyperacute infarctions. This case points out the importance of a high level of suspicion of AOP stroke, together with the correct implementation of imaging studies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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