A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective

Mitsuhiro Iwasaki; Chiyoe Hikita; Masahiro Maeda; Yasufumi Inaka; Hidekazu Yamazaki; Shinya Fukuta; Hiroaki Sato; Masafumi Morimoto

doi:10.5797/jnet.cr.2020-0144

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引用する場合も本公開記事を引用してください。

A Patient with a Delayed Diagnosis of Artery of Percheron Occlusion in Whom Thrombectomy Was Effective

Mitsuhiro Iwasaki, Chiyoe Hikita, Masahiro Maeda, Yasufumi Inaka, Hidekazu Yamazaki, Shinya Fukuta, Hiroaki Sato, Masafumi Morimoto

著者情報

Mitsuhiro Iwasaki
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Chiyoe Hikita
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Masahiro Maeda
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Yasufumi Inaka
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Hidekazu Yamazaki
Department of Neurology, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Shinya Fukuta
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Hiroaki Sato
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan
Masafumi Morimoto
Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan

キーワード: Percheron artery, posterior cerebral artery, ischemic stroke, thrombectomy, perforator infarction

ジャーナルオープンアクセス早期公開

論文ID: cr.2020-0144

DOI https://doi.org/10.5797/jnet.cr.2020-0144

この記事には本公開記事があります。

The final version of this article is now available: Vol. 15 (2021), No. 11 pp. 725-729

詳細

抄録

Objective: A case of posterior cerebral artery (P1 segment) occlusion with consciousness disturbance and Weber’s syndrome treated by mechanical thrombectomy is reported.

Case Presentation: The patient was a 69-year-old man with consciousness disturbance, left hemiparesis, and anisocoria. MRI revealed acute cerebral infarction in the midbrain and right thalamus. Angiography demonstrated that the right P1 segment was occluded and mechanical thrombectomy was performed. The right P1 segment and its perforator artery, the artery of Percheron (AOP), were both recanalized after the treatment, and the symptoms of perforator occlusion significantly improved.

Conclusion: Mechanical thrombectomy for P1 segment occlusion may be effective for improving the symptoms caused by occlusion of its perforator, the AOP.

責任著者(Corresponding author)

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