Percheron Arter Sendromu'nda İntravenöz Amantadin

Percheron arter sendromu; talamusun paramedian nukleusu ve mezensefalon lokalizasyonunda infarktla karakterizedir. Konfüzyondan, komaya kadar değişik klinik tablolarla görülen mental durum değişiklikleri, vertikal bakış kısıtlılığı ve hafıza bozukluğu klasik triadını oluşturmaktadır. Burada klinik ve manyetik rezonans bulguları ile Percheron arter tıkanıklığı olan 3 olgu sunulmuştur. Tedavisinde ek olarak amantadin infüzyonu verilmiş ve prognoza olan olumlu etkisi değerlendirilmiştir.

Abstract

Percheron artery syndrome is characterized by infarction at the paramedian nucleus of the thalamus and mesencephalon. Its classical triad comprises altered mental status with various clinical findings ranging from confusion to coma, restricted vertical gaze, and impaired memory. In this study, three cases of occlusion of the Percheron's artery were presented along with their clinical and magnetic resonance findings. Their treatment additionally included infusion of amantadine, and its positive effect on the prognosis was assessed.

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SELÇUKİ, D., TARHAN, S., KISABAY, A., OKTAN, B., SARI, Ü., BOYACI, R., OVALI, G. Y., YILMAZ, H. (2022). Percheron Arter Sendromu'nda İntravenöz Amantadin. Dahili ve Cerrahi Bilimler Yoğun Bakım Dergisi, Cilt: 6 - Sayı: 3, 104–110. https://ajindex.com/articles/649628

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Kaynakça (5)

Percheron G. The anatomy of the arterial supply of the human thalamus and its use for the interpretation of the thalamic vascular pathology. Z Neurol 1973;205:1-13. [CrossRef] Castaigne P, Lhermitte F, Buge A, et al. Paramedian thalamic and midbrain infarcts:clinical and neuropathologycal study. Ann Neurol 1981;10:127-48. [CrossRef] Uz A. Variations in the origin of the thalamoperforating arteries. J Clin Neurosci 2007;14:134-7. [CrossRef] Mesulam M. Marsel Çeviri Editörü: Gürvit H. Davranışsal ve Kognitif Nörolojinin İlkeleri, 2. Baskı,
İstanbul,
Yelkovan Yayıncılık, Ocak 2004; p.186-9.
Karabelas G, Kalfakis N, Kasvikis K, et al. Unusual features in a case of bilateral paramedian talamik infarction. J Neurol Neurosurg Psychiatry 1985;48:186. [CrossRef] Castaigne P, Lhermitte F, Buge A, et al. Paramedian thalamic and midbrain infarct: clinical and neuropathological study. Ann Neurol 1981;10:127-48. [CrossRef] Carrera E, Michel P, Bogousslavsky J. Anteromedian, central, and pos- terolateral infarcts of the thalamus: three variant types. Stroke 2004;35:2826-31. [CrossRef] Lazzaro NA, Wright B, Castillo M, et al. Artery of percheron infarction: ima- ging patterns and clinical spectrum. AJNR 2010;31:1283-9. [CrossRef] Castaigne P, Lhermitte F, Buge A, et al. Paramedian thalamic and midbrain infarct: clinical and neuropathological study. Ann Neurol 1981;10:127-48. [CrossRef] Bogousslavsky J, Regli F, Uske A. Thalamic infarcts: clinical syndromes, eti- ology, and prognosis. Neurology 1988;38:837-48. [CrossRef] Yamamoto Y, Georgiadis AL, Chang HM, Caplan LR. Posterior cerebral artery territory infarcts in the New England Medical Center Posterior Circulation Registry. Arch Neurol 1999;56:824-32. [CrossRef] Kumral E, Evyapan D, Bakır K, et al. Bilateral thalamic infarction. Clinical etiological, and MRI correlate. ACTA Neurol Scand 2001;103:35-42. [CrossRef] Kostanian V, Cramer SC. Artery of Percheron trombolysis. AJNR Am J Neuroradiol 2007;28:870-1.
Roitberg BZ, Tuccar E, Alp MS. Bilateral paramedian talamik infarct in the presence of an unpaired talamik perforating artery. Acta Neurochir (Wien) 2002;144:301-4. [CrossRef] Smith AB, Smirniotopoulos JG, Rushing EJ, et al. Bilateral thalamic lesions. AJR Am J Roentgenol 2009;192:W53-62. [CrossRef] Adams HP Jr, del Zoppo G, Alberts MJ, et al. "Guidelines for the early mana- gement of adults with ischemic stroke: A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardi