Percheron’s Occlusion: Difficulty of Clinical Diagnosis about One Case in the Teaching Hospital of Cocody (Abidjan-RCI)
-
Nkan Michael Paterne Mobio
,
Olama Marie-Cecile Enyegue
,
Coulibaly Klinna Theodore
,
Abhe Chacke Maria Bekoin
,
Njomo Kouamouo Wilfried
,
Ouattara Abdoulaye
,
Tetchi Yavo Denis
Abstract
Ischemic strokes have varying etiologies and multiple locations. Some locations are much rarer than others and just as difficult to diagnose. This is the case of the ischemic bi-thalamic stroke, attributable to the Percheron artery occlusion that we report in a 33-year-old woman with a history of taking estrogen-progestin. The lesion diagnosis could only be possible thanks to the performance of brain MRI, thus testifying to the diagnostic difficulties observed. Etiological research has shown dyslipidemia. The length of stay was 88 days. At the end of intensive care, the patient was conscious, not deficient and did not present memory disorders.
[1] Percheron G. The anatomy of the arterial supply of the human thalamus and its use for the interpretation of the thalamic vascular pathology. Z Neurol. 1973; 205(1): 1-13.
[2] Percheron G. Arteries of the human thalamus: II. Arteries and paramedian thalamic territory of the communicating basilar artery. Rev Neurol. 1976; 132(5): 309-24.
[3] Lamboley JL, Le Moigne F, Have L, Tsouka G, Drouet A, Salamand P, et al. Occlusion de l'artère de Percheron: difficultés du diagnostic clinique et place de l'IRM. À propos de six cas [Artery of Percheron occlusion: Value of MRI. A review of six cases]. J Radiol. 2011; 92(12):1113-21.
[4] Carrie C, Garnier S, Filloux B, Mérignargues F, Gauche B. Infarctus bithalamique sur occlusion de l'artère de Percheron: difficultés de diagnostic et de prise en charge en réanimation [Bithalamic infarction secondary to Percheron's artery occlusion: Difficulties in diagnosis and management in intensive care medicine]. Ann Fr Anesth Reanim. 2012 Nov;31(11):926-7.
[5] Monet P, Garcia PY, Saliou G, Spagnolo S, Desblache J, Franc J, et al. Accident vasculaire ischémique bithalamique: existe-t-il un tableau évocateur? Etude radioclinique [Bithalamic infarct: is there an evocative aspect? Radioclinical study]. Rev Neurol (Paris). 2009; 165(2):178-84.
[6] Naggara O, Letourneau-Guillon L, Mellerio C, Belair M, Pruvo JP, Leclerc X, et al. Diffusion-weighted MR imaging of the brain. J Radiol. 2010; 91:329–51.
[7] Lazzaro NA, Wright B, Castillo M, Fischbein NJ, Glastonbury CM, Hildenbrand PG, et al. Artery of percheron infarction: imaging patterns and clinical spectrum. AJNR Am J Neuroradiol. 2010; 31(7):1283-9
[2] Percheron G. Arteries of the human thalamus: II. Arteries and paramedian thalamic territory of the communicating basilar artery. Rev Neurol. 1976; 132(5): 309-24.
[3] Lamboley JL, Le Moigne F, Have L, Tsouka G, Drouet A, Salamand P, et al. Occlusion de l'artère de Percheron: difficultés du diagnostic clinique et place de l'IRM. À propos de six cas [Artery of Percheron occlusion: Value of MRI. A review of six cases]. J Radiol. 2011; 92(12):1113-21.
[4] Carrie C, Garnier S, Filloux B, Mérignargues F, Gauche B. Infarctus bithalamique sur occlusion de l'artère de Percheron: difficultés de diagnostic et de prise en charge en réanimation [Bithalamic infarction secondary to Percheron's artery occlusion: Difficulties in diagnosis and management in intensive care medicine]. Ann Fr Anesth Reanim. 2012 Nov;31(11):926-7.
[5] Monet P, Garcia PY, Saliou G, Spagnolo S, Desblache J, Franc J, et al. Accident vasculaire ischémique bithalamique: existe-t-il un tableau évocateur? Etude radioclinique [Bithalamic infarct: is there an evocative aspect? Radioclinical study]. Rev Neurol (Paris). 2009; 165(2):178-84.
[6] Naggara O, Letourneau-Guillon L, Mellerio C, Belair M, Pruvo JP, Leclerc X, et al. Diffusion-weighted MR imaging of the brain. J Radiol. 2010; 91:329–51.
[7] Lazzaro NA, Wright B, Castillo M, Fischbein NJ, Glastonbury CM, Hildenbrand PG, et al. Artery of percheron infarction: imaging patterns and clinical spectrum. AJNR Am J Neuroradiol. 2010; 31(7):1283-9
| Files | ||
| Issue | Vol 7 No 2 (2021): Spring |
|
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v7i2.6304 | |
| Keywords | ||
| Occlusion - Percheron - Diagnosis | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mobio NMP, Enyegue O, Theodore C, Bekoin A, Wilfried N, Abdoulaye O, Denis T. Percheron’s Occlusion: Difficulty of Clinical Diagnosis about One Case in the Teaching Hospital of Cocody (Abidjan-RCI). Arch Anesth & Crit Care. 2021;7(2):103-105.
