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Cerebral Infarction, Artery of Percheron
Edward P. Quigley, III, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Artery of Percheron (AOP) infarct
            • Definitions

              • Bilateral paramedian thalamic &/or midbrain infarct

            IMAGING

            • Imaging anatomy

              • General Features

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        CLINICAL ISSUES

                        • Presentation

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. Bain SE et al: Bilateral paramedian thalamic and mesencephalic infarcts in a newborn due to occlusion of the artery of Percheron. J Child Neurol. 24(2):219-23, 2009
                                2. Koutsouraki E et al: Acute bilateral thalamic infarction as a cause of acute dementia and hypophonia after occlusion of the artery of Percheron. J Neurol Sci. 283(1-2):175-7, 2009
                                3. Monet P et al: [Bithalamic infarct: is there an evocative aspect? Radioclinical study.] Rev Neurol (Paris). 165(2):178-84, 2009
                                4. Rangel-Castilla L et al: Bilateral paramedian thalamic and mesencephalic infarcts after basilar tip aneurysm coiling: role of the artery of Percheron. Neurocirugia (Astur). 20(3):288-93, 2009
                                5. Ben Slamia L et al: Occlusion of the artery of percheron: clinical and neuroimaging correlation. J Neuroradiol. 35(4):244-5, 2008
                                6. García-Casares N et al: [Thalamic dementia secondary to acute bilateral paramedian thalamic infarcts after occlusion of the artery of Percheron.] Rev Neurol. 46(4):210-2, 2008
                                7. Krampla W et al: Ischaemic stroke of the artery of Percheron (2007: 10b). Eur Radiol. 18(1):192-4, 2008
                                8. Kostanian V et al: Artery of Percheron thrombolysis. AJNR Am J Neuroradiol. 28(5):870-1, 2007
                                9. Raphaeli G et al: Acute bilateral paramedian thalamic infarcts after occlusion of the artery of Percheron. Neurology. 66(1):E7, 2006
                                10. Matheus MG et al: Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts. AJNR Am J Neuroradiol. 24(10):2005-8, 2003
                                11. Lepore FE et al: Neuro-ophthalmological findings with neuropathological correlation in bilateral thalamic-mesencephalic infarction. J Clin Neuroophthalmol. 5(4):224-8, 1985
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Artery of Percheron (AOP) infarct
                                          • Definitions

                                            • Bilateral paramedian thalamic &/or midbrain infarct

                                          IMAGING

                                          • Imaging anatomy

                                            • General Features

                                              • CT Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Treatment

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Bain SE et al: Bilateral paramedian thalamic and mesencephalic infarcts in a newborn due to occlusion of the artery of Percheron. J Child Neurol. 24(2):219-23, 2009
                                                              2. Koutsouraki E et al: Acute bilateral thalamic infarction as a cause of acute dementia and hypophonia after occlusion of the artery of Percheron. J Neurol Sci. 283(1-2):175-7, 2009
                                                              3. Monet P et al: [Bithalamic infarct: is there an evocative aspect? Radioclinical study.] Rev Neurol (Paris). 165(2):178-84, 2009
                                                              4. Rangel-Castilla L et al: Bilateral paramedian thalamic and mesencephalic infarcts after basilar tip aneurysm coiling: role of the artery of Percheron. Neurocirugia (Astur). 20(3):288-93, 2009
                                                              5. Ben Slamia L et al: Occlusion of the artery of percheron: clinical and neuroimaging correlation. J Neuroradiol. 35(4):244-5, 2008
                                                              6. García-Casares N et al: [Thalamic dementia secondary to acute bilateral paramedian thalamic infarcts after occlusion of the artery of Percheron.] Rev Neurol. 46(4):210-2, 2008
                                                              7. Krampla W et al: Ischaemic stroke of the artery of Percheron (2007: 10b). Eur Radiol. 18(1):192-4, 2008
                                                              8. Kostanian V et al: Artery of Percheron thrombolysis. AJNR Am J Neuroradiol. 28(5):870-1, 2007
                                                              9. Raphaeli G et al: Acute bilateral paramedian thalamic infarcts after occlusion of the artery of Percheron. Neurology. 66(1):E7, 2006
                                                              10. Matheus MG et al: Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts. AJNR Am J Neuroradiol. 24(10):2005-8, 2003
                                                              11. Lepore FE et al: Neuro-ophthalmological findings with neuropathological correlation in bilateral thalamic-mesencephalic infarction. J Clin Neuroophthalmol. 5(4):224-8, 1985