Bilateral thalamic infarcts: Percheron territory

Radiol Case Rep. 2024 Jan 13;19(4):1344-1350. doi: 10.1016/j.radcr.2023.12.024. eCollection 2024 Apr.

Abstract

Blood supply to the human thalami is complex and multiple variants exist. The artery of Percheron is one of those variants and is characterized by a solitary arterial trunk that branches from one of the proximal segments of either posterior cerebral artery and sup- plies blood to the paramedian thalami. Its occlusion results in bilateral paramedian thalamic infarction sometimes extending to the midbrain. We report a case of bithalamic infarction secondary to occlusion of the artery of Percheron. We will illustrate the complex clinical symptomatology and underscore the role of imaging, especially MRI, for diagnosis.

Keywords: Artery of Percheron; MRI; Stroke; Thalamus.

Publication types

  • Case Reports