Percheron artery infarction: an atypical vascular disorder

Authors

Keywords:

ataxia, dysarthria, cerebral infarction, nuclear magnetic resonance imaging

Abstract

Introduction: Percheron artery infarction is a rare condition affecting the thalamus and midbrain, resulting from the occlusion of a single arterial trunk that supplies both structures. Diagnosis is challenging, as its clinical presentation may be mistaken for other neurological disorders.

Objective: To describe a case of infarction in the Percheron artery.

Clinical case: A 67-years-old male patient with a medical history of essential arterial hypertension and type 2 Diabetes Mellitus presented with disorientation, marked somnolence, and vertical glaze palsy. Magnetic resonance imaging revealed bilateral thalamic infarction.

Conclusions: Percheron artery infarction can be difficult to identify due to its wide clinical spectrum. Early diagnosis is crucial for improving patient prognosis.

References

1. León-Vallejo S, Anzures-Gómez PK, Camacho-Becerra C, Reyes-Ortega D, Torres-Pérez LH, González-González. Síndrome de la arteria de percherón: reporte de caso clínico y revisión de la literatura. G Arch Neurocien [Internet]. 2023 [acceso: 12/06/2025]; 28 (1). Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=111113

2. Avellaneda LC, Camacho DL, Pérez-Hostia HK, Meza-Fandiño DF, Vargas-Rodríguez LJ, Cubillos-Vega Julián et al. ¿Existe correlación metabólica hipoglucémica y el síndrome de Percheron? Reporte de caso. Rev. Univ. Ind. Santander. Salud [Internet]. 2023 [acceso: 12/06/2025]; 55: e69. Disponible en:

http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-08072023000100069&lng=en

3. Dávila-Hernández Carlos Alberto. Infarto en la arteria de Percheron. Rev. Cuban de Med [Internet]. 2024 [acceso: 12/06/2025]; 63. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232024000100018&lng=es

4. Galeano M, Aranda G, Obelar N, Müller G. Oclusión de la arteria de Percherón: Presentación atípica de Ictus isquémico. ANALES [Internet]. 2022 [acceso: 12/06/2025];55(3):122-5. Disponible en: https://revistascientificas.una.py/index.php/RP/article/view/2966

5. Guevara Rodríguez M, Bosch Rodríguez BB, Medina Hernández L, Bordón Hernández M, Luna Capote AI. Síndrome de la arteria de Percheron, a propósito de un caso. Acta Neurol Colomb. [Internet]. 2024 [acceso: 12/06/2025]; 40(1): e8. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-87482024000100008&lng=en

Downloads

Published

2026-01-12

How to Cite

1.
Brull Gálvez R, Brito Portuondo CA, Abdo Cuza A, Izaguirre Rodríguez R. Percheron artery infarction: an atypical vascular disorder. Invest Medicoquir [Internet]. 2026 Jan. 12 [cited 2026 Jan. 12];18(1):e1014. Available from: https://revcimeq.sld.cu/index.php/imq/article/view/1014

Issue

Vol. 18 No. 1 (2026): in progress

Section

Case presentation

License

Copyright (c) 2026 Roberto Brull Gálvez, Carmen Adela Brito Portuondo, Anselmo Abdo Cuza, Rodolfo Izaguirre Rodríguez

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

The authors retain copyright and all unrestricted publication rights.

Medicoquirúrgicas Research is licensed under the Creative Commons Attribution-Noncommercial 4.0 International License (CC BY-NC 4.0) and follows the SciELO Publishing Schema (SciELO PS) for publishing in XML format.

You are free to:

  • Share — copy and redistribute the material in any medium or format.
  • Adapt — remix, transform, and build upon the material.

The license cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do this in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

Non-Commercial — You may not use the material for commercial purposes.
No Additional Restrictions — You may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.

Notices:

You do not have to comply with the license for elements of the material in the public domain or where their use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all the permissions you need for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.