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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 28:870-871, May 2007
© 2007 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Artery of Percheron Thrombolysis

V. Kostanian^a and S.C. Cramer^b

^a Department of Radiological Sciences, University of California Irvine, Irvine Medical Center, Orange, Calif
^b Department of Neurology, University of California Irvine, Irvine Medical Center, Orange, Calif

Please address correspondence to: Steven C. Cramer, MD, University of California, Irvine Medical Center, 101 The City Dr S, Bldg 53, Room 203, Orange, CA 92868-4280; e-mail: scramer{at}uci.edu

SUMMARY: A patient with acute top of the basilar syndrome clinically was found to have only a small basilar artery filling defect but complete occlusion of the artery of Percheron. Intra-arterial thrombolysis resulted in favorable neurologic outcome. To our knowledge, this is the only case of angiographically proved and treated artery of Percheron occlusion. The value of this report is that reperfusion of ischemic areas was only achieved when persistent investigation disclosed artery of Percheron occlusion.

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