CASE REPORT

BILATERAL PARAMEDIAN THALAMIC AND MIDBRAIN INFARCTION: A Case Report

D Andaka , A Nuartha

D Andaka
Resident, Department of Neurology, Faculty of Medicine Udayana University. Email: andaka@gmail.com

A Nuartha
Consultant of Neurovascular, Department of Neurology, Faculty of Medicine Udayana University/Sanglah General Hospital, Denpasar, Bali-Indonesia
Online First: September 01, 2013 | Cite this Article
Andaka, D., Nuartha, A. 2013. BILATERAL PARAMEDIAN THALAMIC AND MIDBRAIN INFARCTION: A Case Report. Bali Medical Journal 2(3): 100-103.


Background: Bilateral paramedian thalamic and midbrain infarct is rare and present with varying symptoms. The occlusion of a rare arterial variant called the artery of Percheron results in bilateral thalamic infarcts, with or without midbrain involvement. To this date, the diagnosis of ischemic
infarction due to occlusion of the artery of Percheronhas was uncommon.

Case: We reports a 50 yearold man with acute ischemic infarcts of both paramedian thalami and midbrain, presenting with complete ophthalmoplegia, arreactive mydriasis pupils, and altered mental status (somnolent and
fluctuating hypersomnia).

Conclusions: Based on clinical and neuroimaging findings, we concluded this case as acute ischemic infarctions due to occlusion of the artery of Percheron.

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