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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 23
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
A
n 86-year-old woman was admitted with multiple episodes
of transient loss of consciousness. She was initially treated
for seizures and stroke was not considered likely. Magnetic
resonance imaging (MRI) on the same day of admission
showed acute bilateral medial thalamic infarcts in keeping
with artery of Percheron (AOP) territory infarcts. Investigation
for polycythaemia and thrombocytosis showed JAK2 positive
myeloproliferative neoplasm. A diagnosis of AOP infarction is
often missed or delayed because it is rare and presents with
variable neurological symptoms. Initial imaging in the form of
computed tomography (CT) is often negative, and some report
that initial MRI findings may also be normal. An awareness of a
wide range of differential diagnoses alongside a multi-modality
imaging approach is required to reach a diagnosis. Although
there are several other case reports of AOP infarction in the
literature, this is the first to present with transient symptoms
initially mistaken for seizure activity.
Biography
Toby Pitts Tucker BMBS, BA (Oxon) is a core Surgical Trainee at Southamp-
ton General Hospital, UK. He graduated from the University of Southamp-
ton in 2015 before undertaking his foundation training at the Royal Bour-
nemouth Hospital
tobypittstucker@gmail.comThe artery of Percheron: an unusual stroke presentation
Toby Pitts Tucker
and
Jeremy Small
Southampton General Hospital, UK
Toby Pitts Tucker et al., Med Case Rep. 2018, Volume 4
DOI:10.21767/2471-8041-C1-002
Figure1:
Axial MRI B1000 diffusion weighted
image with arrows indicating increased signal
affecting the medial thalami bilaterally