A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period

IF 3.2 Q2 CLINICAL NEUROLOGY Neurology International Pub Date : 2023-11-02 DOI:10.3390/neurolint15040085
Matej Perovnik, Janja Pretnar Oblak, Senta Frol
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Abstract

Here, we present a case series of four patients diagnosed with acute ischaemic stroke due to occlusion of the artery of Percheron (AOP), a rare stroke variant, observed in a single emergency centre within a three-month period. AOP occlusion is characterized by bilateral thalamic infarction with or without involvement of the mesencephalon. The presenting symptoms are diverse and not specific, but commonly include disturbance of consciousness, memory impairment, and vertical gaze palsy. In addition, due to the location of the infarction, imaging recognition is challenging and AOP occlusion often remains undiagnosed. This paper emphasizes the necessity of early recognition and appropriate management of AOP occlusion to significantly impact patient outcomes. Moreover, we argue that the condition might be more common than previously thought and that misdiagnosis or delay in diagnosis may lead to inappropriate treatment and potential failure to apply thrombolysis within the required timeframe.
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三个月来4例Percheron动脉闭塞的病例分析
在这里,我们提出了一个病例系列,四名患者被诊断为急性缺血性中风,由于Percheron动脉闭塞(AOP),一种罕见的中风变体,在一个紧急中心观察了三个月的时间。AOP闭塞的特征是双侧丘脑梗死伴或不伴中脑受累。其症状多样且不具体,但通常包括意识障碍、记忆障碍和垂直凝视麻痹。此外,由于梗塞的位置,成像识别是具有挑战性的,AOP闭塞经常无法诊断。本文强调早期识别和适当管理AOP闭塞的必要性,以显著影响患者的预后。此外,我们认为这种情况可能比以前认为的更常见,误诊或延误诊断可能导致不适当的治疗和潜在的未能在规定的时间内应用溶栓。
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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
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