Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status
Bilateral thalamic infarction is a rare entity (it occurs in 0.6% of ischemic strokes) and can be confused with other vascular etiologies such as basilar syndrome and deep cerebral venous thrombosis, as well as neoplasms, infections, or toxins. It is typically characterized by the triad of altered m...
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| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/5583248 |
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| author | Maria Isabel Pérez Pañart Beatriz Sierra Bergua |
| author_facet | Maria Isabel Pérez Pañart Beatriz Sierra Bergua |
| author_sort | Maria Isabel Pérez Pañart |
| collection | DOAJ |
| description | Bilateral thalamic infarction is a rare entity (it occurs in 0.6% of ischemic strokes) and can be confused with other vascular etiologies such as basilar syndrome and deep cerebral venous thrombosis, as well as neoplasms, infections, or toxins. It is typically characterized by the triad of altered mental status, vertical gaze paralysis, and memory impairment, although their symptoms can be highly variable. We describe the case of a young man who came to the emergency department presenting diplopia, speech alteration, and decreased level of consciousness with frequent fluctuations. Baseline computerized tomography was normal, and because of the clinical findings, thrombolysis was performed. Subsequently made magnetic resonance showed a bilateral acute thalamic infarction caused by an obstruction of the Percheron artery. Although Percheron syndrome has been previously described in medical journals, our case is an unusual case in which we could perform an acute intravenous thrombolytic treatment. Besides, it is important for emergency physicians to enclose the Percheron syndrome in the differential diagnosis of coma in young people so that emergent treatments such as thrombolysis can be employed. |
| format | Article |
| id | doaj-art-45d8a88b01a04cae9816f30dd44e74a1 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-45d8a88b01a04cae9816f30dd44e74a12025-02-03T01:27:24ZengWileyCase Reports in Medicine1687-96271687-96352021-01-01202110.1155/2021/55832485583248Artery of Percheron in the Differential Diagnosis of Acute Altered Mental StatusMaria Isabel Pérez Pañart0Beatriz Sierra Bergua1Emergency Department of Hospital, Clinico Universitario Lozano Blesa, Zaragoza, SpainEmergency Department of Hospital, Clinico Universitario Lozano Blesa, Zaragoza, SpainBilateral thalamic infarction is a rare entity (it occurs in 0.6% of ischemic strokes) and can be confused with other vascular etiologies such as basilar syndrome and deep cerebral venous thrombosis, as well as neoplasms, infections, or toxins. It is typically characterized by the triad of altered mental status, vertical gaze paralysis, and memory impairment, although their symptoms can be highly variable. We describe the case of a young man who came to the emergency department presenting diplopia, speech alteration, and decreased level of consciousness with frequent fluctuations. Baseline computerized tomography was normal, and because of the clinical findings, thrombolysis was performed. Subsequently made magnetic resonance showed a bilateral acute thalamic infarction caused by an obstruction of the Percheron artery. Although Percheron syndrome has been previously described in medical journals, our case is an unusual case in which we could perform an acute intravenous thrombolytic treatment. Besides, it is important for emergency physicians to enclose the Percheron syndrome in the differential diagnosis of coma in young people so that emergent treatments such as thrombolysis can be employed.http://dx.doi.org/10.1155/2021/5583248 |
| spellingShingle | Maria Isabel Pérez Pañart Beatriz Sierra Bergua Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status Case Reports in Medicine |
| title | Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status |
| title_full | Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status |
| title_fullStr | Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status |
| title_full_unstemmed | Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status |
| title_short | Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status |
| title_sort | artery of percheron in the differential diagnosis of acute altered mental status |
| url | http://dx.doi.org/10.1155/2021/5583248 |
| work_keys_str_mv | AT mariaisabelperezpanart arteryofpercheroninthedifferentialdiagnosisofacutealteredmentalstatus AT beatrizsierrabergua arteryofpercheroninthedifferentialdiagnosisofacutealteredmentalstatus |