Abstract
The artery of Percheron is a rare anatomical variant artery that supplies the bilateral thalami and midbrain. An acute occlusion of the vessel will lead to the presentation of a bilateral thalamic stroke syndrome. The classical presentation includes somnolence and a reduced level of consciousness. Therefore, this clinical entity often goes unrecognized and diagnoses are usually delayed due to the ambiguity of presenting symptoms. We report a case of a man presenting with an acute onset of drowsiness, later diagnosed with a bilateral thalamic infarct only days later due to the vague clinical symptoms. We also highlighted several key learning points from this case and emphasized the importance of recognizing this syndrome.
Keywords
Publication details
- DOI
- 10.5001/omj.2025.03
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Koh, E. J., Gnanasegaran, A. J., & Chin, M. L. (2025). Bilateral Symmetrical Thalamic Lesions: An Infarction Involving the Artery of Percheron. Oman Medical Journal. https://doi.org/10.5001/omj.2025.03
MLA 9
Koh, Ewe Jin, et al. "Bilateral Symmetrical Thalamic Lesions: An Infarction Involving the Artery of Percheron." Oman Medical Journal, 2025. https://doi.org/10.5001/omj.2025.03.
Chicago (author–date)
Koh, Ewe Jin, Alvin John Gnanasegaran, and Ming Lee Chin. 2025. "Bilateral Symmetrical Thalamic Lesions: An Infarction Involving the Artery of Percheron." Oman Medical Journal. https://doi.org/10.5001/omj.2025.03.
Harvard
Koh, E. J., Gnanasegaran, A. J. and Chin, M. L. (2025) 'Bilateral Symmetrical Thalamic Lesions: An Infarction Involving the Artery of Percheron', Oman Medical Journal. doi:10.5001/omj.2025.03.
Vancouver
Koh EJ, Gnanasegaran AJ, Chin ML. Bilateral Symmetrical Thalamic Lesions: An Infarction Involving the Artery of Percheron. Oman Medical Journal. 2025. doi:10.5001/omj.2025.03
IEEE
E. J. Koh, A. J. Gnanasegaran, and M. L. Chin, "Bilateral Symmetrical Thalamic Lesions: An Infarction Involving the Artery of Percheron," Oman Medical Journal, 2025, doi: 10.5001/omj.2025.03.