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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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      Online Figure 1: Four main vascular territories of the thalamus: anterior (the polar or thalamotuberal artery from the PcomA), paramedian (the paramedian or thalamoperforate artery from P1), inferolateral (the thalamogeniculate artery from P2), and posterior (posterior choroidal arteries from P2).

      Online Figure 2: Pattern 1 (43%). Bilateral paramedian thalamic (A) with midbrain (B) infarction. Sixteen of 37 cases are superimposed with increased opacity representing more commonly affected regions.

      Online Figure 3: Pattern 2 (38%). Bilateral paramedian thalamic (A) without midbrain (B) infarction. Fourteen of 37 cases are superimposed, with increased opacity representing more commonly affected regions.

      Online Figure 4: Pattern 3 (14%). Bilateral paramedian thalamic with anterior thalamus (A) and midbrain (B) infarction. Five of 37 cases are superimposed, with increased opacity representing more commonly affected regions.

      Online Figure 5: Pattern 4 (5%). Bilateral paramedian thalamic with anterior thalamus (A) without midbrain (B) ischemia. Two of 37 cases are superimposed, with increased opacity representing more commonly affected regions.

      Online Figure 6: Case 35. Axial FLAIR (A and B) and DWI (C and D) images at the level of the thalamus (A and C) and midbrain (A and C) demonstrate bilateral paramedian thalamic with anterior left thalamic and midbrain infarction (pattern 3). Notice the hyperintense signal intensity along the pial surface of the midbrain interpeduncular fossa representing the V sign (B).

      Online Figure 7: Case 36. Axial DWI images demonstrate bilateral paramedian and anterior thalamic ischemia without midbrain involvement (pattern 4).

      Online Table 1: Summary of all cases

      Online Table 2: Clinical data

      Online Table 3: Additional infarcts
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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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  • Occlusion of the artery of Percheron: an unusual cause of bilateral stroke
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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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  • Bilateral lesions of the basal ganglia and thalami (central grey matter)—pictorial review
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  • Posterior circulation cerebrovascular syndromes: diagnosis and management
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    Journal of Neurology, Neurosurgery & Psychiatry 2017 88 1
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