A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective

OBJECTIVE: A case of posterior cerebral artery (P1 segment) occlusion with consciousness disturbance and Weber’s syndrome treated by mechanical thrombectomy is reported. CASE PRESENTATION: The patient was a 69-year-old man with consciousness disturbance, left hemiparesis, and anisocoria. MRI reveale...

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Autores principales: Iwasaki, Mitsuhiro, Hikita, Chiyoe, Maeda, Masahiro, Inaka, Yasufumi, Yamazaki, Hidekazu, Fukuta, Shinya, Sato, Hiroaki, Morimoto, Masafumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371001/
https://www.ncbi.nlm.nih.gov/pubmed/37502267
http://dx.doi.org/10.5797/jnet.cr.2020-0144
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author Iwasaki, Mitsuhiro
Hikita, Chiyoe
Maeda, Masahiro
Inaka, Yasufumi
Yamazaki, Hidekazu
Fukuta, Shinya
Sato, Hiroaki
Morimoto, Masafumi
author_facet Iwasaki, Mitsuhiro
Hikita, Chiyoe
Maeda, Masahiro
Inaka, Yasufumi
Yamazaki, Hidekazu
Fukuta, Shinya
Sato, Hiroaki
Morimoto, Masafumi
author_sort Iwasaki, Mitsuhiro
collection PubMed
description OBJECTIVE: A case of posterior cerebral artery (P1 segment) occlusion with consciousness disturbance and Weber’s syndrome treated by mechanical thrombectomy is reported. CASE PRESENTATION: The patient was a 69-year-old man with consciousness disturbance, left hemiparesis, and anisocoria. MRI revealed acute cerebral infarction in the midbrain and right thalamus. Angiography demonstrated that the right P1 segment was occluded and mechanical thrombectomy was performed. The right P1 segment and its perforator artery, the artery of Percheron (AOP), were both recanalized after the treatment, and the symptoms of perforator occlusion significantly improved. CONCLUSION: Mechanical thrombectomy for P1 segment occlusion may be effective for improving the symptoms caused by occlusion of its perforator, the AOP.
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spelling pubmed-103710012023-07-27 A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective Iwasaki, Mitsuhiro Hikita, Chiyoe Maeda, Masahiro Inaka, Yasufumi Yamazaki, Hidekazu Fukuta, Shinya Sato, Hiroaki Morimoto, Masafumi J Neuroendovasc Ther Case Report OBJECTIVE: A case of posterior cerebral artery (P1 segment) occlusion with consciousness disturbance and Weber’s syndrome treated by mechanical thrombectomy is reported. CASE PRESENTATION: The patient was a 69-year-old man with consciousness disturbance, left hemiparesis, and anisocoria. MRI revealed acute cerebral infarction in the midbrain and right thalamus. Angiography demonstrated that the right P1 segment was occluded and mechanical thrombectomy was performed. The right P1 segment and its perforator artery, the artery of Percheron (AOP), were both recanalized after the treatment, and the symptoms of perforator occlusion significantly improved. CONCLUSION: Mechanical thrombectomy for P1 segment occlusion may be effective for improving the symptoms caused by occlusion of its perforator, the AOP. The Japanese Society for Neuroendovascular Therapy 2021-03-12 2021 /pmc/articles/PMC10371001/ /pubmed/37502267 http://dx.doi.org/10.5797/jnet.cr.2020-0144 Text en ©2021 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Iwasaki, Mitsuhiro
Hikita, Chiyoe
Maeda, Masahiro
Inaka, Yasufumi
Yamazaki, Hidekazu
Fukuta, Shinya
Sato, Hiroaki
Morimoto, Masafumi
A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective
title A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective
title_full A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective
title_fullStr A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective
title_full_unstemmed A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective
title_short A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective
title_sort patient with a delayed diagnosis of artery of percheron occlusion in whom thrombectomy was effective
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371001/
https://www.ncbi.nlm.nih.gov/pubmed/37502267
http://dx.doi.org/10.5797/jnet.cr.2020-0144
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