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Artery of Percheron Infarct: A Rare Case Presentation and Recovery
Ronald Lott1, Xavier Zonna1, Aneesha Nadukudiyil Jose2
1Internal Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Cureus
|September 25, 2023
Summary
The artery of Percheron (AOP) is a rare cause of stroke affecting the thalamus and midbrain. This case highlights variable symptoms and good recovery potential for AOP infarcts, even without anticoagulation.
Area of Science:
- Neurology
- Vascular Neurology
- Neuroanatomy
Background:
- The artery of Percheron (AOP) is a rare anatomical variant supplying the thalamus and midbrain.
- AOP infarcts represent a small percentage of all ischemic strokes.
- Clinical presentation of AOP infarcts is highly variable, ranging from mild confusion to severe coma.
Observation:
- A case report of a 68-year-old male with atrial fibrillation presenting with an acute AOP infarct is detailed.
- The patient was not on anticoagulation therapy at the time of the stroke.
- The patient experienced a notable recovery following the acute event.
Findings:
- This case illustrates the diverse symptomatology associated with artery of Percheron infarcts.
- The findings underscore the potential for recovery in AOP-related strokes.
- The absence of anticoagulation in this patient did not preclude a positive outcome.
Implications:
- Increased awareness among diagnosticians regarding AOP infarcts is crucial.
- Recognizing the wide spectrum of clinical presentations can aid in timely diagnosis.
- Understanding the prognosis of AOP infarcts is essential for patient management and treatment strategies.
