Artery of Percheron Infarction with Bilateral Thalamic Lesions in a 14-Year-Old Girl: A Case Report.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Journal of Nippon Medical School Pub Date : 2024-01-01 DOI:10.1272/jnms.JNMS.2024_91-504
Atsushi Takagi, Takeshi Asano
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Abstract

The artery of Percheron (AOP), a common anatomic vascular variation of the P1 segment of the posterior cerebral artery, provides arterial blood supply to the paramedian thalami and rostral midbrain. Occlusion of the AOP can lead to infarction of the bilateral paramedian thalamus, with or without midbrain involvement, but is rare in children. Here, we describe a case involving a 14-year-old girl with sudden onset of disturbance of consciousness, hypersomnia, and global aphasia. Brain magnetic resonance imaging showed symmetric bilateral paramedian thalamic infarcts. Left-sided AOP infarction was diagnosed by brain angiography.

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一名 14 岁女孩的佩切伦动脉梗塞伴双侧丘脑病变:病例报告。
佩切龙动脉(AOP)是大脑后动脉 P1 段常见的解剖学血管变异,它为副丘脑和喙中脑提供动脉血供。AOP闭塞可导致双侧副丘脑梗死,伴有或不伴有中脑受累,但在儿童中很少见。在此,我们描述了一个 14 岁女孩的病例,她突然出现意识障碍、嗜睡和全面性失语。脑磁共振成像显示双侧对称性丘脑旁梗死。脑血管造影诊断为左侧 AOP 梗死。
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来源期刊
Journal of Nippon Medical School
Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-
CiteScore
1.80
自引率
10.00%
发文量
118
期刊介绍: The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.
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