Case Report: Three cases involving the use of endovascular intervention for artery of Percheron infarction with a unilateral fetal-type posterior cerebral artery - Report - MDSpire

Case Report: Three cases involving the use of endovascular intervention for artery of Percheron infarction with a unilateral fetal-type posterior cerebral artery

  • By

  • Yue Xu

  • Minjia Yang

  • July 1, 2026

  • 0 min

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Clinical Report: Three Cases of Endovascular Treatment for AOP Infarction

Background

AOP infarction is a rare cause of bilateral thalamic infarction. The presence of a unilateral fPCA can complicate the diagnosis and management of these patients. Understanding the clinical presentation and treatment options is crucial for improving outcomes in affected individuals.

Data Highlights

CaseAgeClinical FeaturesImaging FindingsTreatmentOutcome
177Coma, pupillary dysfunctionBilateral thalamic infarcts, basilar artery occlusionThrombolysis, thrombectomyPoor
262Acute impairment of consciousnessBilateral thalamic infarcts, unilateral fPCAThrombolysis, thrombectomyImprovement
368Acute impairment of consciousnessBilateral thalamic infarcts, severe PCA stenosisThrombolysis, thrombectomyPoor

Key Findings

  • Neuroimaging typically reveals bilateral paramedian thalamic infarctions.
  • All three cases had large vessel lesions with an onset within 6 hours.
  • Endovascular treatment was performed in all cases, but outcomes varied.

Clinical Implications

Early neuroimaging, particularly MRI, is essential for timely diagnosis and management.

Conclusion

AOP infarction requires prompt recognition and intervention. The presence of a unilateral fPCA is a significant diagnostic indicator in cases of bilateral thalamic infarction.

Related Resources & Content

  1. Navigating the clinical landscape of artery of Percheron infarction: A systematic review - PubMed
  2. Fetal-type posterior cerebral artery and association of rupture in posterior communicating artery aneurysms: A systematic review and meta-analysis - ScienceDirect
  3. European Stroke Organisation and European Society for Minimally Invasive Neurological Therapy guideline on acute management of basilar artery occlusion - PMC
  4. Endovascular Retrograde Revascularization in a Case of Chronic Total Occlusion of the Internal Carotid Artery
  5. Endovascular Recanalization through the Ascending Cervical Artery for Occlusion of Non-Conical Stump Vertebral Artery: A Case Study
  6. Endovascular and Surgical Approaches to Cerebral Revascularization in Cases of Inflammatory Vessel Stenosis Due to Cerebral Vasculitis: A Case Series
  7. Bypass from Occipital to Vertebral Artery for Managing Bilateral Vertebral Artery Occlusion with QMRA as a Complementary Diagnostic Tool
  8. Navigating the clinical landscape of artery of Percheron infarction: A systematic review - PubMed
  9. Fetal-type posterior cerebral artery and association of rupture in posterior communicating artery aneurysms: A systematic review and meta-analysis - ScienceDirect
  10. Prevalence and Incidence of Carotid-Fetal-Posterior Syndrome - PubMed
  11. European Stroke Organisation and European Society for Minimally Invasive Neurological Therapy guideline on acute management of basilar artery occlusion - PMC
  12. Endovascular treatment for basilar artery occlusion: a meta-analysis
  13. Endovascular Therapy Versus Best Medical Treatment in Posterior Cerebral Artery Stroke: A Systematic Review and Meta‐Analysis - PMC
  14. Endovascular Treatment for Stroke Due to Occlusion of Medium or Distal Vessels | New England Journal of Medicine

Original Source(s)

Case Report: Three cases involving the use of endovascular intervention for artery of Percheron infarction with a unilateral fetal-type posterior cerebral artery

  • by Yue Xu, Minjia Yang

  • July 1, 2026

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