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Research ArticleBrain

Artery of Percheron Infarction: Imaging Patterns and Clinical Spectrum

N.A. Lazzaro, B. Wright, M. Castillo, N.J. Fischbein, C.M. Glastonbury, P.G. Hildenbrand, R.H. Wiggins, E.P. Quigley and A.G. Osborn
American Journal of Neuroradiology August 2010, 31 (7) 1283-1289; DOI: https://doi.org/10.3174/ajnr.A2044
N.A. Lazzaro
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B. Wright
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M. Castillo
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N.J. Fischbein
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C.M. Glastonbury
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P.G. Hildenbrand
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R.H. Wiggins
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E.P. Quigley
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A.G. Osborn
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    Fig 1.

    A, Conventional anatomy demonstrating paired thalamic and midbrain perforating arteries. B, AOP arising as a single unpaired trunk from P1 supplying the bilateral paramedian thalami and rostral midbrain. Reprinted with permission from Amirsys Inc.

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    Fig 2.

    Collective extent of all 4 infarct patterns at the level of the thalamus (A) and midbrain (B) from all 37 cases superimposed.

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    Fig 3.

    Case 2 (A and B) and case 16 (C and D). Axial FLAIR MR images at the level the thalamus (A and C) and midbrain (B and D) demonstrate bilateral paramedian thalamic and midbrain involvement (pattern 1). Notice the hyperintense signal intensity along the pial surface of the midbrain interpeduncular fossa representing the V sign (B and D).

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    Fig 4.

    Case 22. Axial FLAIR (A and B) and DWI (C and D) images at the level of the thalamus (A and C) and midbrain (B and D) demonstrate infarction of the bilateral paramedian thalami without midbrain involvement (pattern 2).

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    Fig 5.

    Axial FLAIR MR images through the midbrain from cases 31 (A), 5 (B), and 9 (C) show a V-shaped hyperintense signal intensity along the pial surface of the midbrain at the interpeduncular fossa (the V sign).

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    Fig 6.

    DSA of the left vertebral injection, lateral (A) and anteroposterior (B) views, and a coronal CTA image (C) from case 23 demonstrate a large unpaired thalamic perforating artery (arrows) arising from the proximal P1 segment supplying the bilateral thalami (ie, an AOP).

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American Journal of Neuroradiology: 31 (7)
American Journal of Neuroradiology
Vol. 31, Issue 7
1 Aug 2010
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Cite this article
N.A. Lazzaro, B. Wright, M. Castillo, N.J. Fischbein, C.M. Glastonbury, P.G. Hildenbrand, R.H. Wiggins, E.P. Quigley, A.G. Osborn
Artery of Percheron Infarction: Imaging Patterns and Clinical Spectrum
American Journal of Neuroradiology Aug 2010, 31 (7) 1283-1289; DOI: 10.3174/ajnr.A2044

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Artery of Percheron Infarction: Imaging Patterns and Clinical Spectrum
N.A. Lazzaro, B. Wright, M. Castillo, N.J. Fischbein, C.M. Glastonbury, P.G. Hildenbrand, R.H. Wiggins, E.P. Quigley, A.G. Osborn
American Journal of Neuroradiology Aug 2010, 31 (7) 1283-1289; DOI: 10.3174/ajnr.A2044
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  • Teaching NeuroImages: Comatose patient with bilateral thalamic infarct due to internal carotid artery occlusion
  • Occlusion of the artery of Percheron: an unusual cause of bilateral stroke
  • Bilateral infarction of paramedian thalami: a report of two cases of artery of Percheron occlusion and review of the literature
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  • Acute Basilar Artery Occlusion: Differences in Characteristics and Outcomes after Endovascular Therapy between Patients with and without Underlying Severe Atherosclerotic Stenosis
    Y.Y. Lee, W. Yoon, S.K. Kim, B.H. Baek, G.S. Kim, J.T. Kim, M.S. Park
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    Neurological Sciences 2019 40 10
  • Imaging of Brain Infarctions: Beyond the Usual Territories
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    Journal of Computer Assisted Tomography 2019 43 3
  • The artery of Percheron revisited: a cadaveric anatomical study
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    Acta Neurochirurgica 2013 155 3
  • Bilateral lesions of the basal ganglia and thalami (central grey matter)—pictorial review
    Sofie Van Cauter, Mariasavina Severino, Rosamaria Ammendola, Brecht Van Berkel, Hrvoje Vavro, Luc van den Hauwe, Zoran Rumboldt
    Neuroradiology 2020 62 12
  • Posterior circulation cerebrovascular syndromes: diagnosis and management
    Ursula G Schulz, Urs Fischer
    Journal of Neurology, Neurosurgery & Psychiatry 2017 88 1
  • Contemporary therapeutic strategies for occlusion of the artery of Percheron: a review of the literature
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