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Acta Neurochirurgica
Published in: Acta Neurochirurgica 10/2016

01-10-2016 | Case Report - Vascular

Artery of Percheron infarction after endoscopic pituitary surgery

Authors: Saritha Aryan, Sumit Thakar, A. S. Hegde

Published in: Acta Neurochirurgica | Issue 10/2016

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Abstract

Infarction in the artery of Percheron territory is a rare phenomenon in which occlusion of an unpaired perforating artery arising from the P1 segment on one side results in infarcts in the bilateral paramedian thalami with or without midbrain infarcts. We describe the case of a 40-year-old male who developed this complication following re-exploratory trans-sphenoidal surgery for a pituitary adenoma. In this first report of its kind in endoscopic pituitary surgery, the pathogenesis and clinico-radiological features of this rare vascular event are discussed.
Literature
1.
Percheron G (1973) The anatomy of the arterial supply of the human thalamus and itsuse for the interpretation of the thalamic vascular pathology. Z Neurol 205:1–13PubMed
2.
Sankar T, Souster J, Steinke DE (2008) Bilateral thalamic infarction following transsphenoidal surgery. Can J Neurol Sci 35:522–525CrossRefPubMed
3.
Arauz A, Patiño-Rodríguez HM, Vargas-González JC, Arguelles-Morales N, Silos H, Ruiz-Franco A, Ochoa MA (2014) Clinical spectrum of artery of Percheron infarct: clinical-radiological correlations. J Stroke Cerebrovasc Dis 23:1083–1088CrossRefPubMed
Metadata
Title
Artery of Percheron infarction after endoscopic pituitary surgery
Authors
Saritha Aryan
Sumit Thakar
A. S. Hegde
Publication date
01-10-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2925-y

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