<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cuban de Med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232024000100018</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infarto en la arteria de Percheron]]></article-title>
<article-title xml:lang="en"><![CDATA[Artery of Percheron Infarction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávila-Hernández]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital IV Augusto Hernández Mendoza EsSalud ]]></institution>
<addr-line><![CDATA[ Ica]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional San Luis Gonzaga Facultad de Medicina Humana Daniel Alcides Carrión ]]></institution>
<addr-line><![CDATA[ Ica]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>63</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232024000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232024000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232024000100018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El infarto en la arteria de Percheron es una patología infrecuente, porque se caracteriza por variaciones anatómicas y de difícil diagnóstico clínico.  Objetivo:  Describir un caso clínico de infarto en la arteria de Percheron.  Presentación de caso:  Se presenta una mujer de 67 años de edad con mucho sueño y que no responde adecuadamente las preguntas; con antecedente de hipertensión arterial, se le realiza un examen clínico referencial: somnolienta, Glasgow: apertura ocular 3, respuesta verbal 4, respuesta motora 5, 12/15, pupilas hiporreactivas, sin signos de focalización; se solicitó tomografía axial computarizada de cabeza sin contraste informando con resultados adecuados para su edad; el sedimento urinario: no patológico; se inició un tratamiento para intoxicación por benzodiazepinas con flumazenilo pero la paciente no reaccionó al tratamiento, por lo que empeoró; se repite la tomografía de cabeza sin contraste, se informó hipodensidades en la región paramediana de ambos tálamos sin compromiso de mesencéfalo: infarto en la arteria de Percheron; se realiza interconsulta a la Unidad de Cuidados Intensivos. A los dos días, la paciente fallece por infección sobreagregada.  Conclusiones:  El infarto en la arteria de Percheron se presenta con síntomas inespecíficos en la etapa inicial, que hace pasarlo desapercibido en la evaluación clínica; debe ser considerado como diferencial en todo paciente con alteración del estado de conciencia, y debe realizarse tomografía axial computarizada normal; por tanto, el diagnóstico y el tratamiento deben ser oportunos para evitar procedimientos adicionales innecesarios o incluso la muerte.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The artery of Percheron infarction is a rare pathology, which is characterized by anatomical variations and difficult clinical diagnosis.  Objective:  To describe a clinical case of artery of Percheron infarction.  Case report:  We report the case of a 67-year-old woman who was very sleepy and did not respond satisfactorily to the questions; she had history of hypertension. A baseline clinical examination was performed revealing she was drowsy, her Glasgow showed eye opening 3, verbal response 4, motor response 5, 12/15, hyporeactive pupils, no signs of focusing. Computed axial tomography of the head with no contrast was indicated, reporting results that were proper for her age. Urinary sediment resulted non-pathological. Treatment for benzodiazepine poisoning was started with flumazenil, but the patient did not react to the treatment and worsened. Her head CT without contrast was repeated, showing hypodensities in the paramedian region of both thalami without involvement of the midbrain: the artery of Percheron infarction. Consultation was carried out with the intensive care unit to manage it. Two days later, the patient died from superimposed infection.  Conclusion:  The artery of Percheron infarction presents with non-specific symptoms in the initial stage, which makes it go unnoticed in the clinical evaluation. It should be considered in a differential diagnosis in all patients with altered state of consciousness, and a normal computed axial tomography should be performed. Therefore, timely diagnosis and treatment are a must to avoid unnecessary additional procedures or even death.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[arteria de Percheron]]></kwd>
<kwd lng="es"><![CDATA[infarto talámico bilateral]]></kwd>
<kwd lng="es"><![CDATA[tomografía axial computarizada]]></kwd>
<kwd lng="en"><![CDATA[artery of Percheron]]></kwd>
<kwd lng="en"><![CDATA[bilateral thalamic infarction]]></kwd>
<kwd lng="en"><![CDATA[computed axial tomography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tapia Guerrero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Molina]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García Gutiérrez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Peñuela Ruiz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[García Gallardo]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar Cuevas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lo que el radiólogo debe saber sobre el infarto de la arteria de Percheron]]></article-title>
<source><![CDATA[Radiología]]></source>
<year>2016</year>
<page-range>1358-65</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rissardo]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Caprara]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Parálisis pseudobulbar aguda aislada con infarto de arteria de Percheron reporte de un caso y revisión de la literatura]]></article-title>
<source><![CDATA[Ciencias de la Salud Afr]]></source>
<year>2021</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>166-71</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[FY]]></given-names>
</name>
<name>
<surname><![CDATA[Hung]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percheron Artery-Plus Syndrome A Syndrome Beyond Stroke Chameleon]]></article-title>
<source><![CDATA[J Nippon Med Sch]]></source>
<year>2021</year>
<volume>88</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>375-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Asavaaree]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Doyle]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Smithason]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El infarto de la arteria de Percheron produce bradicardia grave informe de un caso]]></article-title>
<source><![CDATA[Surg Neurol Int]]></source>
<year>2018</year>
<page-range>229-30</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Osama]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Artery of Percheron infarction a rare anatomical variant and a diagnostic challenge Case report]]></article-title>
<source><![CDATA[Radiol Case Rep]]></source>
<year>2020</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>22-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Polo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Camerlingob]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Percheron Infarto talámico bilateral: reporte de 2 casos]]></article-title>
<source><![CDATA[Rev Med Clin Condes]]></source>
<year>2019</year>
<volume>30</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>383-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santamaria]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sierra]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lacarta]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Percheron Ictus talámico bilateral]]></article-title>
<source><![CDATA[Rev Ecuat Neurol]]></source>
<year>2020</year>
<volume>29</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1-4</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Percheron]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Les artères du thalamus humain.1: artère et territoire thalamiques polaires de l´artère comunicante postérieure]]></article-title>
<source><![CDATA[Rev Neurol]]></source>
<year>1976</year>
<volume>132</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>309-24</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Caruso]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Manganotti]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Moretti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complex neurological symptoms in bilateral thalamic stroke due to Percheron artery occlusion]]></article-title>
<source><![CDATA[Vasc Health Risk Manag]]></source>
<year>2017</year>
<volume>13</volume>
<page-range>11-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Monroy]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Campozano]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Vergara]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Percheron: reporte de caso]]></article-title>
<source><![CDATA[INSPILIP]]></source>
<year>2022</year>
<volume>6</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infarto de la arteria de Percheron reporte de un caso y revisión de la literatura]]></article-title>
<source><![CDATA[Revista Argentina de Radiología]]></source>
<year>2018</year>
<volume>82</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>184-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Duan]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cai]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of Percheron Infarction in Images and Clinical Findings]]></article-title>
<source><![CDATA[J Neurol Sci]]></source>
<year>2017</year>
<volume>383</volume>
<page-range>87-92</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stamm]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Lineback]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Skolarus]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Morgenstern]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[GV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Artery of Percheron infarct 12 cases and their complex clinical courses]]></article-title>
<source><![CDATA[Neurohospitalist]]></source>
<year>2018</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>141-5</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ibarra]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Marquez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Costales]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Percherón: Hallazgos neurorradiológicos de un viejo conocido. Seram 34: congreso nacional Pamplona]]></article-title>
<source><![CDATA[SERAM]]></source>
<year>2018</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Agarwal]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Hansberry]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Prestigiacomo]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Gandhi]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Contemporary therapeutic strategies for occlusion of the artery of Percheron a review of the literature]]></article-title>
<source><![CDATA[J Neurol Intervent Surg]]></source>
<year>2015</year>
<volume>79</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>95-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Gang]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute Percheron infarction a precision learning]]></article-title>
<source><![CDATA[BMC Neurol]]></source>
<year>2022</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
