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A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period
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 w...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661246/ https://www.ncbi.nlm.nih.gov/pubmed/37987458 http://dx.doi.org/10.3390/neurolint15040085 |
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author | Perovnik, Matej Pretnar Oblak, Janja Frol, Senta |
author_facet | Perovnik, Matej Pretnar Oblak, Janja Frol, Senta |
author_sort | Perovnik, Matej |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10661246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106612462023-11-02 A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period Perovnik, Matej Pretnar Oblak, Janja Frol, Senta Neurol Int Case Report 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. MDPI 2023-11-02 /pmc/articles/PMC10661246/ /pubmed/37987458 http://dx.doi.org/10.3390/neurolint15040085 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Perovnik, Matej Pretnar Oblak, Janja Frol, Senta A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period |
title | A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period |
title_full | A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period |
title_fullStr | A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period |
title_full_unstemmed | A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period |
title_short | A Case Series of Four Patients with Artery of Percheron Occlusion over a Three-Month Period |
title_sort | case series of four patients with artery of percheron occlusion over a three-month period |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661246/ https://www.ncbi.nlm.nih.gov/pubmed/37987458 http://dx.doi.org/10.3390/neurolint15040085 |
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