ReviewNeurocritical care2014
Artery of Percheron infarction as an unusual cause of coma: three cases and literature review.
Review in Neurocritical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 58 citations in OpenAlex.
- The clinical significance of artery of Percheron in cerebral ischemia: a summary overview.Annals of medicine and surgery (2012) · 2025Review
- Different diseases, same circuits: lessons from rare and overlooked causes of disorders of consciousness.Brain communications · 2025Review
- Case Report: Artery of Percheron infarction following surgical clipping of multiple intracranial aneurysms.Frontiers in surgery · 2025Article
- Navigating the clinical landscape of artery of Percheron infarction: A systematic review.eNeurologicalSci · 2024Review
- Wasp sting-induced bilateral thalamic and midbrain infarction.BMJ case reports · 2024Article
- Artery of Percheron Infarction: A Rare But Important Cause of Bilateral Thalamic Stroke.Cureus · 2023Article
- Endovascular intervention for bilateral paramedian thalamic stroke due to occlusion of the unilateral P1 segment of the posterior cerebral artery: illustrative cases.Journal of neurosurgery. Case lessons · 2022Article
- Frequency, clinical presentation and outcome of vigilance impairment in patients with uni- and bilateral ischemic infarction of the paramedian thalamus.Journal of neurology · 2021Article
- Article
- A Case of Diagnostic Difficulty: Transient Loss of Consciousness in Artery of Percheron Infarct.Cureus · 2021Article
- Stroke masquerading as cardiac arrest: the artery of Percheron.BMJ case reports · 2021Article
- Acute Onset of Hypersomnolence and Aphasia Secondary to an Artery of Percheron Infarct and a Proposed Emergency Room Evaluation.Case reports in emergency medicine · 2019Article
- Thalamic strokes that severely impair arousal extend into the brainstem.Annals of neurology · 2018Article
- Artery of Percheron Infarct: An Acute Diagnostic Challenge with a Spectrum of Clinical Presentations.Cureus · 2018Article
- The Influence of Traumatic Axonal Injury in Thalamus and Brainstem on Level of Consciousness at Scene or Admission: A Clinical Magnetic Resonance Imaging Study.Journal of neurotrauma · 2018Article
- Uncommon Association of Two Anatomical Variants of Cerebral Circulation: A Fetal-Type Posterior Cerebral Artery and Inferred Artery of Percheron, Complicated with Paramedian Thalamomesencephalic Stroke-Case Presentation and Literature Review.Case reports in neurological medicine · 2018Article
- Degeneration of paramedian nuclei in the thalamus induces Holmes tremor in a case of artery of Percheron infarction.Medicine · 2017Article
- Artery of Percheron infarction: a case report.Journal of medical case reports · 2017Article
- Stroke Chameleons and Stroke Mimics in the Emergency Department.Current neurology and neuroscience reports · 2017Review
- Lesson of the month 1: Artery of Percheron occlusion - an -uncommon cause of coma in a middle-aged man.Clinical medicine (London, England) · 2016Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveStroke due to occlusion of the artery of Percheron (AOP), an uncommon anatomic variant supplying the bilateral medial thalami, may raise diagnostic challenges and cause life-threatening symptoms. Our objective here was to detail the features and outcomes in three patients who required intensive care unit (ICU) admission and to review the relevant literature.
methodsDescription of three cases and literature review based on a 1973-2013 PubMed search.
resultsThree patients were admitted to our ICU with sudden-onset coma and respiratory and cardiovascular dysfunctions requiring endotracheal mechanical ventilation. Focal neurological deficits, ophthalmological signs (abnormal light reflexes and/or ocular motility and/or ptosis), and neuropsychological abnormalities were variably combined. Initial CT scan was normal. Cerebral MRI demonstrated bilateral paramedian thalamic infarction, with extension to the cerebral peduncles in two patients. Consciousness improved rapidly and time to extubation was 1-4 days. All three patients were discharged alive from the hospital and two had good 1-year functional outcomes. Similar clinical features and outcomes were recorded in the 117 patients identified in the literature, of whom ten required ICU admission.
conclusionsBilateral paramedian thalamic stroke due to AOP occlusion can be life threatening. The early diagnosis relies on MRI with magnetic resonance angiography. Recovery of consciousness is usually rapid and mortality is low, warranting full-code ICU management.
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