BACKGROUND Percheron acute artery occlusion is a rare type of acute cerebral infarction.CASE SUMMARY An elderly male presented with sudden-onset near-memory and sensory impairments for 5 days.Upon admission,based on s...BACKGROUND Percheron acute artery occlusion is a rare type of acute cerebral infarction.CASE SUMMARY An elderly male presented with sudden-onset near-memory and sensory impairments for 5 days.Upon admission,based on symptoms,signs,magnetic resonance imaging,and computed tomography findings,a diagnosis of Percheron syndrome was made.Subsequently,anti-platelet therapy,lipid-lowering treat-ment,cerebral circulation enhancement(such as the administration of calcium channel blockers to improve cerebral blood flow),and neurotrophic support(such as the use of drugs like citicoline to protect nerve cells)were immediately implemented,along with additional symptomatic treatments.The patient’s symptoms were alleviated,following which he was discharged.CONCLUSION The diagnosis of acute occlusion of the Percheron artery requires rich clinical expertise and accurate imaging tools.Timely intervention and effective follow-up hold significant implications for optimizing patient recovery.展开更多
研究发现,Percheron动脉（artery of percheron,APO）闭塞所致双侧丘脑梗死占缺血性卒中的0.1%～0.3%,占丘脑梗死的22%～35%。临床主要表现为突发意识障碍、垂直凝视障碍、认知障碍等,临床易与其它双侧丘脑病变混淆,需鉴别诊断。本文总...研究发现,Percheron动脉（artery of percheron,APO）闭塞所致双侧丘脑梗死占缺血性卒中的0.1%～0.3%,占丘脑梗死的22%～35%。临床主要表现为突发意识障碍、垂直凝视障碍、认知障碍等,临床易与其它双侧丘脑病变混淆,需鉴别诊断。本文总结9例APO闭塞所致双侧丘脑梗死的临床表现、影像特点、治疗及预后。展开更多
目的总结Percheron动脉(artery of percheron, AOP)闭塞致双侧丘脑梗死的诊疗过程,并复习相关文献,以提高对该病认识。方法复习本科确诊的1例Percheron动脉梗死的病例,参照相关文献,就该病的病因、临床特征、及影像学等进行分析。结果 P...目的总结Percheron动脉(artery of percheron, AOP)闭塞致双侧丘脑梗死的诊疗过程,并复习相关文献,以提高对该病认识。方法复习本科确诊的1例Percheron动脉梗死的病例,参照相关文献,就该病的病因、临床特征、及影像学等进行分析。结果 Percheron动脉是一种少见血管变异,闭塞会导致双侧丘脑旁正中部对称性梗死,临床主要表现为垂直凝视麻痹、记忆损害、意识障碍三联症。结论这种少见解剖变异导致双侧丘脑梗死,发病率低,加之临床表现复杂,早期诊断困难。展开更多
1973年法国学者Percheron首次报道一种十分少见的丘脑穿通动脉变异,即双侧丘脑穿通动脉起源自同侧大脑后动脉(Posterior cerebral artery,PCA)P1段,将其命名为Percheron动脉[1](Artery of Percheron,AOP),该血管闭塞时导致双侧丘脑旁正...1973年法国学者Percheron首次报道一种十分少见的丘脑穿通动脉变异,即双侧丘脑穿通动脉起源自同侧大脑后动脉(Posterior cerebral artery,PCA)P1段,将其命名为Percheron动脉[1](Artery of Percheron,AOP),该血管闭塞时导致双侧丘脑旁正中区梗死,累或不累及中脑,称之AOP梗死。Percheron动脉闭塞所致AOP梗死占所有急性脑梗死的0.1%-2%[2],占急性丘脑梗死的4%-18%[3],是一种特殊类型的脑梗死,临床较少见。现将我科收治的1例Percheron动脉闭塞导致双侧丘脑梗死的病例报道如下。展开更多
基金Supported by the Young Innovative Talents Fund of Guangdong Colleges and Universities,No.2023KQNCX013.
文摘BACKGROUND Percheron acute artery occlusion is a rare type of acute cerebral infarction.CASE SUMMARY An elderly male presented with sudden-onset near-memory and sensory impairments for 5 days.Upon admission,based on symptoms,signs,magnetic resonance imaging,and computed tomography findings,a diagnosis of Percheron syndrome was made.Subsequently,anti-platelet therapy,lipid-lowering treat-ment,cerebral circulation enhancement(such as the administration of calcium channel blockers to improve cerebral blood flow),and neurotrophic support(such as the use of drugs like citicoline to protect nerve cells)were immediately implemented,along with additional symptomatic treatments.The patient’s symptoms were alleviated,following which he was discharged.CONCLUSION The diagnosis of acute occlusion of the Percheron artery requires rich clinical expertise and accurate imaging tools.Timely intervention and effective follow-up hold significant implications for optimizing patient recovery.
文摘研究发现,Percheron动脉（artery of percheron,APO）闭塞所致双侧丘脑梗死占缺血性卒中的0.1%～0.3%,占丘脑梗死的22%～35%。临床主要表现为突发意识障碍、垂直凝视障碍、认知障碍等,临床易与其它双侧丘脑病变混淆,需鉴别诊断。本文总结9例APO闭塞所致双侧丘脑梗死的临床表现、影像特点、治疗及预后。
文摘目的总结Percheron动脉(artery of percheron, AOP)闭塞致双侧丘脑梗死的诊疗过程,并复习相关文献,以提高对该病认识。方法复习本科确诊的1例Percheron动脉梗死的病例,参照相关文献,就该病的病因、临床特征、及影像学等进行分析。结果 Percheron动脉是一种少见血管变异,闭塞会导致双侧丘脑旁正中部对称性梗死,临床主要表现为垂直凝视麻痹、记忆损害、意识障碍三联症。结论这种少见解剖变异导致双侧丘脑梗死,发病率低,加之临床表现复杂,早期诊断困难。
文摘1973年法国学者Percheron首次报道一种十分少见的丘脑穿通动脉变异,即双侧丘脑穿通动脉起源自同侧大脑后动脉(Posterior cerebral artery,PCA)P1段,将其命名为Percheron动脉[1](Artery of Percheron,AOP),该血管闭塞时导致双侧丘脑旁正中区梗死,累或不累及中脑,称之AOP梗死。Percheron动脉闭塞所致AOP梗死占所有急性脑梗死的0.1%-2%[2],占急性丘脑梗死的4%-18%[3],是一种特殊类型的脑梗死,临床较少见。现将我科收治的1例Percheron动脉闭塞导致双侧丘脑梗死的病例报道如下。
