Bilateral Thalamic Stroke in a Young Adult: A Rare Presentation of Artery of Percheron Infarction

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Research ID 60MS5

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Abstract

Artery of Percheron (AOP) infarcts are rare ischemic strokes resulting from occlusion of a solitary arterial variant supplying the paramedian thalami and rostral midbrain. We present the case of a 26-year-old previously healthy female who presented with acute altered consciousness and vertical gaze palsy. MRI brain revealed symmetric bilateral thalamic diffusion restriction, consistent with AOP infarction. This case underscores the importance of considering this rare stroke subtype in young patients presenting with unexplained coma or altered mental status.

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Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

Not applicable

Data Availability

The datasets used in this study are openly available at [repository link] and the source code is available on GitHub at [GitHub link].

Funding

This work did not receive any external funding.

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  • Classification

    NLM Code: WL 355

  • Version of record

    v1.0

  • Issue date

    03 May 2025

  • Language

    English

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