Artery of Percheron Infarct: A Rare Case Presentation and Recovery

Abstract

The artery of Percheron (AOP) is a congenital anatomical irregularity of the cerebrovasculature responsible for perfusing the thalamus and midbrain. These defects account for a small percent of all ischemic strokes and present with widely variable symptomatology, ranging from confusion to coma. We present a case of an acute AOP infarct and recovery in a 68-year-old male with atrial fibrillation without anticoagulation. It is our hope that this case report serves to alert diagnosticians to the presence of AOP infarcts, the wide clinical presentation, and the prognosis of this rare and critical type of ischemic stroke.

Rare and Riveting: A Case Report on Artery of Percheron Occlusion

“…According to a recently published review in Neurology, just 14 verified cases of AOP were discovered during an eight-year evaluation of a single institution's neuroimaging database [4]. The median age of presentation was 67.5 years, and 57% of the participants were female [4].…”

“…According to a recently published review in Neurology, just 14 verified cases of AOP were discovered during an eight-year evaluation of a single institution's neuroimaging database [4]. The median age of presentation was 67.5 years, and 57% of the participants were female [4]. Even though AOP infarcts are known to result in long-term impairments, it is clear that most cases manifest late in the clinical course, which reduces the likelihood of receiving thrombolysis treatment [5].…”