Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion

Paola Caruso, Paolo Manganotti, Rita Moretti Department of Clinical Neurology, University of Trieste, Trieste, Italy Abstract: The artery of Percheron is a rare anatomical variant where a single thalamic perforating artery arises from the proximal posterior cerebral artery (P1 segment) between the b...
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Gespeichert in:

Autor*in:	Caruso P [verfasserIn] Manganotti P [verfasserIn] Moretti R [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Bilateral Thalamic Stroke Percheron artery Thalamus blood supply Thrombolysis.

Übergeordnetes Werk:	In: Vascular Health and Risk Management - Dove Medical Press, 2009, (2016), Seite 11-14
Übergeordnetes Werk:	year:2016 ; pages:11-14

Links:	Link aufrufen Link aufrufen Journal toc

Katalog-ID:	DOAJ02288209X

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520			\|a Paola Caruso, Paolo Manganotti, Rita Moretti Department of Clinical Neurology, University of Trieste, Trieste, Italy Abstract: The artery of Percheron is a rare anatomical variant where a single thalamic perforating artery arises from the proximal posterior cerebral artery (P1 segment) between the basilar artery and the posterior communicating artery and supplies the rostral mesencephalon and both paramedian territories of the thalami. Almost one-third of human brains present this variant. Occlusion of the artery of Percheron mostly results in a bilateral medial thalamic infarction, which usually manifests with altered consciousness (including coma), vertical gaze paresis, and cognitive disturbance. The presentation is similar to the “top of the basilar syndrome”, and early recognition should be prompted. We describe the case of a young female with this vessel variant who experienced a bilateral thalamic stroke. Magnetic resonance angiography demonstrated bilateral thalamic infarcts and a truncated artery of Percheron. Occlusion of the vessel was presumably due to embolism from a patent foramen ovale. Thrombolysis was performed, with incomplete symptom remission, cognitive impairment, and persistence of speech disorders. Early recognition and treatment of posterior circulation strokes is mandatory, and further investigation for underlying stroke etiologies is needed. Keywords: thalamus vascularization, cognitive impairment, paramedian thalamus territory, speech disorder, vertical gaze palsy
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allfields	(DE-627)DOAJ02288209X (DE-599)DOAJ92cb7cc6da6d47da9e5816a97b6f2e6e DE-627 ger DE-627 rakwb eng RC666-701 Caruso P verfasserin aut Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Paola Caruso, Paolo Manganotti, Rita Moretti Department of Clinical Neurology, University of Trieste, Trieste, Italy Abstract: The artery of Percheron is a rare anatomical variant where a single thalamic perforating artery arises from the proximal posterior cerebral artery (P1 segment) between the basilar artery and the posterior communicating artery and supplies the rostral mesencephalon and both paramedian territories of the thalami. Almost one-third of human brains present this variant. Occlusion of the artery of Percheron mostly results in a bilateral medial thalamic infarction, which usually manifests with altered consciousness (including coma), vertical gaze paresis, and cognitive disturbance. The presentation is similar to the “top of the basilar syndrome”, and early recognition should be prompted. We describe the case of a young female with this vessel variant who experienced a bilateral thalamic stroke. Magnetic resonance angiography demonstrated bilateral thalamic infarcts and a truncated artery of Percheron. Occlusion of the vessel was presumably due to embolism from a patent foramen ovale. Thrombolysis was performed, with incomplete symptom remission, cognitive impairment, and persistence of speech disorders. Early recognition and treatment of posterior circulation strokes is mandatory, and further investigation for underlying stroke etiologies is needed. Keywords: thalamus vascularization, cognitive impairment, paramedian thalamus territory, speech disorder, vertical gaze palsy Bilateral Thalamic Stroke Percheron artery Thalamus blood supply Thrombolysis. Diseases of the circulatory (Cardiovascular) system Manganotti P verfasserin aut Moretti R verfasserin aut In Vascular Health and Risk Management Dove Medical Press, 2009 (2016), Seite 11-14 (DE-627)481905839 (DE-600)2180578-7 11782048 nnns year:2016 pages:11-14 https://doaj.org/article/92cb7cc6da6d47da9e5816a97b6f2e6e kostenfrei https://www.dovepress.com/complex-neurological-symptoms-in-bilateral-thalamic-stroke-due-to-perc-peer-reviewed-article-VHRM kostenfrei https://doaj.org/toc/1178-2048 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2016 11-14
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callnumber-first	R - Medicine
author	Caruso P
spellingShingle	Caruso P misc RC666-701 misc Bilateral Thalamic Stroke misc Percheron artery misc Thalamus blood supply misc Thrombolysis. misc Diseases of the circulatory (Cardiovascular) system Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion
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topic_title	RC666-701 Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion Bilateral Thalamic Stroke Percheron artery Thalamus blood supply Thrombolysis
topic	misc RC666-701 misc Bilateral Thalamic Stroke misc Percheron artery misc Thalamus blood supply misc Thrombolysis. misc Diseases of the circulatory (Cardiovascular) system
topic_unstemmed	misc RC666-701 misc Bilateral Thalamic Stroke misc Percheron artery misc Thalamus blood supply misc Thrombolysis. misc Diseases of the circulatory (Cardiovascular) system
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title	Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion
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title_full	Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion
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title_sort	complex neurological symptoms in bilateral thalamic stroke due to percheron artery occlusion
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title_auth	Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion
abstract	Paola Caruso, Paolo Manganotti, Rita Moretti Department of Clinical Neurology, University of Trieste, Trieste, Italy Abstract: The artery of Percheron is a rare anatomical variant where a single thalamic perforating artery arises from the proximal posterior cerebral artery (P1 segment) between the basilar artery and the posterior communicating artery and supplies the rostral mesencephalon and both paramedian territories of the thalami. Almost one-third of human brains present this variant. Occlusion of the artery of Percheron mostly results in a bilateral medial thalamic infarction, which usually manifests with altered consciousness (including coma), vertical gaze paresis, and cognitive disturbance. The presentation is similar to the “top of the basilar syndrome”, and early recognition should be prompted. We describe the case of a young female with this vessel variant who experienced a bilateral thalamic stroke. Magnetic resonance angiography demonstrated bilateral thalamic infarcts and a truncated artery of Percheron. Occlusion of the vessel was presumably due to embolism from a patent foramen ovale. Thrombolysis was performed, with incomplete symptom remission, cognitive impairment, and persistence of speech disorders. Early recognition and treatment of posterior circulation strokes is mandatory, and further investigation for underlying stroke etiologies is needed. Keywords: thalamus vascularization, cognitive impairment, paramedian thalamus territory, speech disorder, vertical gaze palsy
abstractGer	Paola Caruso, Paolo Manganotti, Rita Moretti Department of Clinical Neurology, University of Trieste, Trieste, Italy Abstract: The artery of Percheron is a rare anatomical variant where a single thalamic perforating artery arises from the proximal posterior cerebral artery (P1 segment) between the basilar artery and the posterior communicating artery and supplies the rostral mesencephalon and both paramedian territories of the thalami. Almost one-third of human brains present this variant. Occlusion of the artery of Percheron mostly results in a bilateral medial thalamic infarction, which usually manifests with altered consciousness (including coma), vertical gaze paresis, and cognitive disturbance. The presentation is similar to the “top of the basilar syndrome”, and early recognition should be prompted. We describe the case of a young female with this vessel variant who experienced a bilateral thalamic stroke. Magnetic resonance angiography demonstrated bilateral thalamic infarcts and a truncated artery of Percheron. Occlusion of the vessel was presumably due to embolism from a patent foramen ovale. Thrombolysis was performed, with incomplete symptom remission, cognitive impairment, and persistence of speech disorders. Early recognition and treatment of posterior circulation strokes is mandatory, and further investigation for underlying stroke etiologies is needed. Keywords: thalamus vascularization, cognitive impairment, paramedian thalamus territory, speech disorder, vertical gaze palsy
abstract_unstemmed	Paola Caruso, Paolo Manganotti, Rita Moretti Department of Clinical Neurology, University of Trieste, Trieste, Italy Abstract: The artery of Percheron is a rare anatomical variant where a single thalamic perforating artery arises from the proximal posterior cerebral artery (P1 segment) between the basilar artery and the posterior communicating artery and supplies the rostral mesencephalon and both paramedian territories of the thalami. Almost one-third of human brains present this variant. Occlusion of the artery of Percheron mostly results in a bilateral medial thalamic infarction, which usually manifests with altered consciousness (including coma), vertical gaze paresis, and cognitive disturbance. The presentation is similar to the “top of the basilar syndrome”, and early recognition should be prompted. We describe the case of a young female with this vessel variant who experienced a bilateral thalamic stroke. Magnetic resonance angiography demonstrated bilateral thalamic infarcts and a truncated artery of Percheron. Occlusion of the vessel was presumably due to embolism from a patent foramen ovale. Thrombolysis was performed, with incomplete symptom remission, cognitive impairment, and persistence of speech disorders. Early recognition and treatment of posterior circulation strokes is mandatory, and further investigation for underlying stroke etiologies is needed. Keywords: thalamus vascularization, cognitive impairment, paramedian thalamus territory, speech disorder, vertical gaze palsy
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title_short	Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion
url	https://doaj.org/article/92cb7cc6da6d47da9e5816a97b6f2e6e https://www.dovepress.com/complex-neurological-symptoms-in-bilateral-thalamic-stroke-due-to-perc-peer-reviewed-article-VHRM https://doaj.org/toc/1178-2048
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Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion

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