Document Detail


Coma with Vertical Gaze Palsy: Relevance of Angio-CT in Acute Percheron Artery Syndrome.
MedLine Citation:
PMID:  20671861     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
M Godani; A Auci; T Torri; S Jensen; M Del Sette
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-6-08
Journal Detail:
Title:  Case reports in neurology     Volume:  2     ISSN:  1662-680X     ISO Abbreviation:  -     Publication Date:  2010  
Date Detail:
Created Date:  2010-7-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517693     Medline TA:  Case Rep Neurol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  74-79     Citation Subset:  -    
Affiliation:
Department of Neurology, Ospedale Civico S. Andrea, La Spezia, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A Rare Malignant Triton Tumor.
Next Document:  Isolated Subarachnoidal Hemorrhage following Carotid Endarterectomy.