Evidence map›Paper›PMID 42332579›Full record

ArticleBMC neurology2026

Acute ischemic stroke caused by Percheron artery occlusion after vertebral artery stent placement: a case report.

Yuxiang He, Shuning Diao, Taiying Li, Shengzhen Hou, Jinping Zhang

Abstract readCase Reports
In one paragraph

Article in BMC neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yuxiang HeFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Shuning DiaoFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Taiying LiFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Shengzhen HouFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Jinping ZhangAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China. zhangjinpingdoctor@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe paramedian thalamic artery has four types of anatomical variants, among which type IIb is commonly referred to as the artery of Percheron (AOP). Occlusion of this artery typically results in bilateral paramedian thalamic infarction, with variable involvement of the rostral midbrain. We report a case of acute ischemic stroke caused by AOP occlusion, which is a rare complication of a neurointerventional procedure. CASE PRESENTATION: A 51-year-old male underwent stent placement due to severe stenosis with dissection of the V4 segment of the left vertebral artery. After the procedure, he presented with classic symptoms of AOP infarction, including acute altered consciousness and memory impairment. Magnetic resonance imaging (MRI) revealed bilateral paramedian thalamic and rostral midbrain infarction. He was diagnosed with an acute ischemic stroke caused by AOP occlusion and achieved a favorable outcome with symptomatic therapy, supportive care, and rehabilitation.

conclusionsThis case underscores that in patients who have stenosis with dissection undergoing neurointerventional procedures, heightened vigilance is required for the complication of distal embolization, and distal blood flow should be repeatedly assessed. When neurological deficits, such as altered consciousness, arise after the procedure, the possibility of AOP infarction should be considered, especially in patients with an anatomical variant of this artery. Timely MRI and treatments such as intravenous thrombolysis and endovascular therapy should be performed.

Indexed as

Ischemic StrokeStentsVertebral ArteryHumansMagnetic Resonance ImagingMaleMiddle AgedAcute ischemic strokeArtery of PercheronCase reportOcclusionVertebral artery stenting

Identifiers

PMID42332579
PMCPMC13539806

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.