Percheron’s Occlusion: Difficulty of Clinical Diagnosis about One Case in the Teaching Hospital of Cocody (Abidjan-RCI)

Nkan Michael   Paterne Mobio; Olama  Marie-Cecile Enyegue; Coulibaly   Klinna Theodore; Abhe   Chacke Maria Bekoin; Njomo  Kouamouo Wilfried; Ouattara  Abdoulaye; Tetchi   Yavo Denis

doi:10.18502/aacc.v7i2.6304

Nkan Michael Paterne Mobio
Olama Marie-Cecile Enyegue Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost.
Coulibaly Klinna Theodore Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost.
Abhe Chacke Maria Bekoin Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost.
Njomo Kouamouo Wilfried Department of Critical Care , University hospital Center of Angre, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
Ouattara Abdoulaye Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost.
Tetchi Yavo Denis Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost.

DOI: https://doi.org/10.18502/aacc.v7i2.6304

Keywords: Occlusion; Percheron; Diagnosis

Abstract

Ischemic strokes have varying etiologies and multiple locations. Some locations are much rarer than others and just as difficult to diagnose. This is the case of the ischemic bi-thalamic stroke, attributable to the Percheron artery occlusion that we report in a 33-year-old woman with a history of taking estrogen-progestin. The lesion diagnosis could only be possible thanks to the performance of brain MRI, thus testifying to the diagnostic difficulties observed. Etiological research has shown dyslipidemia. The length of stay was 88 days. At the end of intensive care, the patient was conscious, not deficient and did not present memory disorders.