{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:13Z","timestamp":1756339393874,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,16]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>This is an elderly patient who was found unconscious at home. CT of the head without contrast was unremarkable, while CT angiography of the head and neck revealed a subocclusive thrombus on the precommunicating (P1) segment of the left posterior cerebral artery (PCA). MRI brain revealed bilateral regions of diffusion restriction in the paramedian thalami and bilateral medial mesencephalon. Initial angiography confirmed the presence of a subocclusive thrombus in the P1 segment of the left PCA. Thrombectomy was performed achieving recanalisation of the left PCA and reperfusion of bilateral thalami via a visualised artery of Percheron. Postoperatively, the patient was kept on a daily dose of 325\u2009mg of aspirin. The patient did not improve neurologically. A follow-up MRI brain showed diffusion restriction in the left occipital lobe and petechial haemorrhages in the bilateral thalami. The family eventually opted for palliative measures, and the patient expired on day 14 of admission due to acute respiratory failure from palliative extubating.<\/jats:p>","DOI":"10.1136\/bcr-2020-237968","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T12:25:18Z","timestamp":1619007918000},"page":"e237968","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Artery of Percheron occlusion with first-pass recanalisation of the first segment of posterior cerebral artery"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3179-7975","authenticated-orcid":false,"given":"Sherif","family":"Elsayed","sequence":"first","affiliation":[{"name":"Neurology, University of Connecticut School of Medicine, Farmington, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Al Balushi","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3322-8138","authenticated-orcid":false,"given":"Alexander","family":"Schupper","sequence":"additional","affiliation":[{"name":"Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazem","family":"Shoirah","sequence":"additional","affiliation":[{"name":"Neurosurgery, Neurology and Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,21]]},"reference":[{"key":"2025082701394600000_14.4.e237968.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00315956"},{"key":"2025082701394600000_14.4.e237968.2","first-page":"2005","article-title":"Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts","volume":"24","author":"Matheus","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082701394600000_14.4.e237968.3","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2044"},{"key":"2025082701394600000_14.4.e237968.4","doi-asserted-by":"crossref","first-page":"141","DOI":"10.2478\/raon-2014-0037","article-title":"Artery of Percheron infarction: review of literature with a case report","volume":"49","author":"Lamot","year":"2015","journal-title":"Radiol Oncol"},{"key":"2025082701394600000_14.4.e237968.5","first-page":"870","article-title":"Artery of Percheron thrombolysis","volume":"28","author":"Kostanian","year":"2007","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082701394600000_14.4.e237968.6","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/j.jstrokecerebrovasdis.2013.09.011","article-title":"Clinical spectrum of artery of Percheron infarct: clinical-radiological correlations","volume":"23","author":"Arauz","year":"2014","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"2025082701394600000_14.4.e237968.7","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.002135"},{"key":"2025082701394600000_14.4.e237968.8","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jns.2017.10.033","article-title":"Assessment of Percheron infarction in images and clinical findings","volume":"383","author":"Xu","year":"2017","journal-title":"J Neurol Sci"},{"key":"2025082701394600000_14.4.e237968.9","doi-asserted-by":"publisher","DOI":"10.1002\/ana.25235"},{"key":"2025082701394600000_14.4.e237968.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00163-X"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237968","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:39:54Z","timestamp":1756283994000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237968"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,4,21]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/bcr-2020-237968"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237968","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}