Paramedian thalamic syndrome due to artery of Percheron infarction, effectively treated with early anticoagulation: A series of 3 cases

Abstract

Introduction/backgroundArtery of Percheron infarction (AOP) is a rare cause of ischemic stroke characterized by bilateral thalamic infarcts with or without rostral midbrain involvement.It represents 0.1% of total ischemic strokes and 4% of thalamic strokes. We report 3 cases with AOP infarction that responded well to early anticoagulation. Case seriesCase 1: A 58 year female is admitted with sudden onset loss of consciousness.Neurological exam revealed vertical gaze palsy with no limb weakness.