Abstract
Percheron artery syndrome is a rare entity, its prevalence being unknown, with the Percheron artery being an anatomical variant of the paramedian artery in which a single perforating artery supplies both thalamic nuclei, causing a bilateral thalamic infarct when occluded. A classic clinical triad is described as: vertical gaze palsy, consciousness and cognitive-behavioral alterations, which despite being a non-specific clinical condition and the small number of cases known to medical personnel, we present a case of a woman of A 43-year-old woman who had an onset of highly varied neurological symptoms, finding the classic triad as late symptoms and confirming it by means of an imaging study after having been transferred multiple times to different medical institutions.
References
MP. SINDROME DE PERCHERON INFARTO TALÁMICO BILATERAL: REPORTE DE 2 CASOS. Rev médica Clín Las Condes [Internet]. 2019 [citado el 26 de julio de 2023];30(5):383–7. Disponible en: https://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-articulo-sindrome-de-percheron-infarto-talamico-S0716864019300756 Doi:10.1016/j.rmclc.2019.07.006.
Kichloo A, Jamal SM, Zain E-A, Wani F, Vipparala N. Artery of Percheron infarction: A short review. J Investig Med High Impact Case Rep [Internet]. 2019 [citado el 26 de julio de 2023];7:2324709619867355. Disponible en http://dx.doi.org/10.1177/2324709619867355
Lazzaro NA, Wright B, Castillo M, Fischbein NJ, Glastonbury CM, Hildenbrand PG, et al. Artery of percheron infarction: imaging patterns and clinical spectrum. AJNR Am J Neuroradiol [Internet]. 2010 [citado el 26 de julio de 2023];31(7):1283–9. Disponible en: http://dx.doi.org/10.3174/ajnr.A2044
Matheus MG, Castillo M. Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts. AJNR Am J Neuroradiol. 2003;24(10):2005–8. PMCID:PMC8148919
Valdivieso EP, Alcantar Villanueva H, Jaramillo Almaguer JE, Agustín Tapia K, Campos Pérez Y. Infarto bitalámico en el área de la arteria de Percheron. Rev Fac Med Univ Nac Auton Mex [Internet]. 2018 [citado el 26 de julio de 2023];61(5):21–3. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid= S0026-17422018000500021
Alejandra M, Tanya C, Calabuig I, Jose M. INFARTO TALÁMICO BILATERAL POR COMPROMISO DE LA ARTERIA DE PERCHERON [Internet]. Bvs.hn. [citado el 26 de julio de 2023]. Disponible en: http://www.bvs.hn/RMH/pdf/2017/pdf/Vol85-1-2-2017-10.pdf
Monroy S, Jimenez L, Meza N, Salcedo J. Infarto talámico bilateral por obstrucción de la arteria de Percherón: reporte de caso. Acta Neurológica Colomb [Internet]. 2017;33(2):104–14. Disponible en: http://www.scielo.org.co/pdf/anco/v33n2/0120-8748-anco-33-02-00104.pdf Doi: hhtps://doi,org/10.22379/24224022141
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