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Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model

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An unusual artery causing an unusual stroke.

Alanna M Balbi¹, Kathryn A Henry, Amanda A Van Sant

¹At the time this article was written, Alanna M. Balbi was a student in the University of South Florida's Morsani College of Medicine SELECT program in Tampa, and the Department of Emergency and Hospital Medicine at Lehigh Valley Health Network in Bethlehem, Pa. Kathryn A. Henry, Amanda A. Van Sant, Jessica L. Maier, and Jessica K. Eygnor practiced emergency medicine at Lehigh Valley Health Network when this article was written. Jeanne L. Jacoby is associate research director in the Department of Emergency and Hospital Medicine at Lehigh Valley Health Network and a clinical associate professor at the University of South Florida's Morsani College of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants

|November 25, 2020

Summary

Bilateral thalamic infarctions are rare and cause severe symptoms. This case highlights a patient with bilateral thalamic infarction due to a rare artery of Percheron occlusion.

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Area of Science:

Neurology
Neuroscience
Vascular Neurology

Background:

Bilateral thalamic infarctions are uncommon neurological events.
They are associated with more severe and prolonged neurological deficits compared to unilateral cases.

Observation:

This report details a specific patient case.
The patient presented with bilateral thalamic infarction.

Findings:

The infarction was caused by occlusion of the artery of Percheron.
The artery of Percheron is an anatomical variant found in 4-12% of the population.

Implications:

Understanding rare vascular variants like the artery of Percheron is crucial for diagnosing thalamic strokes.
This case underscores the importance of considering specific anatomical variations in neurovascular assessments.