【摘要】 目的总结Percheron动脉(artery of percheron, AOP)闭塞致双侧丘脑梗死的诊疗过程,并复习相关文献,以提高对该病认识。方法复习本科确诊的1例Percheron动脉梗死的病例,参照相关文献,就该病的病因、临床特征、及影像学等进行分析。结果 Percheron动脉是一种少见血管变异,闭塞会导致双侧丘脑旁正中部对称性梗死,临床主要表现为垂直凝视麻痹、记忆损害、意识障碍三联症。结论这种少见解剖变异导致双侧丘脑梗死,发病率低,加之临床表现复杂,早期诊断困难。更多还原

【Abstract】 Objective To review the medical record of a case of bilateral thalamic strokedue to occlusion of the artery of Percheron(AOP) and improve awareness of the disease. Methods We analyzed the etiology, clinical features and image findings of a patient with AOP infarction in our department and reviewed all related literatures.Results The occlusion of AOP was a rare condition that caused bilateral thalamic ischemic stroke and generated a clinical syndrome characterized by bilateral vertical gaze palsy, memory impairment and hypersomnia. Conclusion The incidence of bilateral thalamic stroke due to this anatomical variant is low, and its diagnosis can be delayed because of the wide spectrum of clinical signs.更多还原