Abstract
Infarction in the artery of Percheron territory is a rare phenomenon in which occlusion of an unpaired perforating artery arising from the P1 segment on one side results in infarcts in the bilateral paramedian thalami with or without midbrain infarcts. We describe the case of a 40-year-old male who developed this complication following re-exploratory trans-sphenoidal surgery for a pituitary adenoma. In this first report of its kind in endoscopic pituitary surgery, the pathogenesis and clinico-radiological features of this rare vascular event are discussed.
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References
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Sankar T, Souster J, Steinke DE (2008) Bilateral thalamic infarction following transsphenoidal surgery. Can J Neurol Sci 35:522–525
Arauz A, Patiño-Rodríguez HM, Vargas-González JC, Arguelles-Morales N, Silos H, Ruiz-Franco A, Ochoa MA (2014) Clinical spectrum of artery of Percheron infarct: clinical-radiological correlations. J Stroke Cerebrovasc Dis 23:1083–1088
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Aryan, S., Thakar, S. & Hegde, A.S. Artery of Percheron infarction after endoscopic pituitary surgery. Acta Neurochir 158, 1973–1975 (2016). https://doi.org/10.1007/s00701-016-2925-y
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DOI: https://doi.org/10.1007/s00701-016-2925-y