Bilateral thalamic stroke due to occlusion of the artery of Percheron in a patient with patent foramen ovale: a case report.

Journal of Medical Case Reports
Raúl López-SernaManuel López-Martínez

Abstract

Bilateral thalamic infarcts are rare presentations of stroke. They are the result of a complex combination of risk factors and a predisposing vessel distribution. The artery of Percheron, characterized by a single arterial trunk that irrigates both paramedian thalamic regions, can be occluded as a result of embolic diseases leading to bilateral paramedian thalamic infarcts. Clinical and image findings of this uncommon form of posterior circulation infarct are presented along with their anatomic and pathophysiologic correlates. A 27-year-old Mexican man with no relevant medical history was admitted to hospital after he was found deeply stuporous. On admission, an urgent neuroimaging protocol for stroke, including magnetic resonance imaging and magnetic resonance imaging angiography, was performed. The scans revealed symmetric bilateral hyperintense paramedian thalamic lesions consistent with acute ischemic events. The posterior circulation was patent including the tip of the basilar artery and both posterior cerebral arteries, making the case compatible with occlusion of the artery of Percheron. Further evaluation with an aim to define the etiology revealed a patent foramen ovale as the cause of embolism. Bilateral thalamic infa...Continue Reading

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Citations

Jul 18, 2012·Journal of Medical Case Reports·Ouarda El OualiMohamed Faouzi Belahsen
Aug 5, 2015·Journal of Clinical Medicine·Muhammad AlmamunSonni Jayathirthachar Sanjeev Kumar
May 8, 2016·Neurologia i neurochirurgia polska·Magdalena RestelHalina Sienkiewicz-Jarosz
Mar 24, 2016·Journal of Natural Science, Biology, and Medicine·Khalid JumeanHamid Shaaban
Jan 15, 2013·World Neurosurgery·Nitin AgarwalCharles J Prestigiacomo
Dec 25, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Giovanna ViticchiMauro Silvestrini
Feb 15, 2014·Journal of Neurointerventional Surgery·Xintong LiChirag D Gandhi
Aug 10, 2019·Journal of Investigative Medicine High Impact Case Reports·Asim KichlooNavya Vipparala
Jul 4, 2020·American Journal of Men's Health·Imen Ben SaidaMohamed Boussarsar
Jan 1, 2016·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·S A KutiaM A Kriventsov
Apr 24, 2019·Case Reports in Neurological Medicine·Hatem B AfanaAlaa Eldin Elsharkawy
Mar 8, 2017·Clinical Case Reports·Pushpa Raj Puri, Astha Sijapati
Jan 13, 2021·BMJ Case Reports·Megan QuetschStephen Hedger
Sep 11, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Fatma Ece ÇetinBirgül Dere

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