Coma with Vertical Gaze Palsy: Relevance of Angio-CT in Acute Percheron Artery Syndrome

被引：16

作者：

Godani, M. ^{[3
]}

Auci, A. ^{[2
]}

Torri, T. ^{[2
]}

Jensen, S. ^{[1
]}

Del Sette, M. ^{[3
]}

机构：

[1] Osped Civ Carrara, Dept Neurol, Carrara, Italy

[2] Osped Civ Carrara, Dept Radiol, Carrara, Italy

[3] Osped Civ S Andrea, Dept Neurol, Via Vittorio Veneto 197, IT-19124 La Spezia, Italy

来源：

CASE REPORTS IN NEUROLOGY | 2010年 / 2卷 / 02期

关键词：

Percheron; Vertical gaze; Relevance; Coma; Angio-CT;

D O I：

10.1159/000315835

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: A 63-year-old woman with chronic atrial fibrillation treated with warfarin was admitted to emergency for coma and complete vertical gaze palsy. Investigations: Brain CT and MRI, echo-colour Doppler sonography of the supraaortic vessels, angio-CT of the intracranial vessels, EEG, transesophageal echocardiogram, biohumoral tests. Brain CT and MRI scans showed bilateral thalamic lesions with involvement of the right midbrain; EEG showed a diffuse alpha rhythm prevalent on the posterior regions; echo-colour Doppler sonography of the supraaortic vessels showed marked reduction of blood flow in the right vertebral artery; angio-CT scans showed occlusion of the right vertebral artery and a significant filling defect of the first part of the right posterior cerebral artery (P1) from which the artery of Percheron arises. A follow-up angio-CT showed a complete recanalization of P1. Diagnosis: Percheron artery syndrome. Treatment and Management: Aspirin, neurorehabilitation.

引用

页码：74 / 79

页数：6

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