PERCHERON ARTERY SYNDROME: CASE REPORT AND REVIEW LITERATURE

Abstract

The relevance of this clinical case is based on the fact that Percheron artery syndrome is rarely reported in Mexico, most cases are reported in other countries. The main objective of this research is to increase the knowledge and dissemination of its clinical expression, providing readers with a detailed review of the literature and clues for its identification by neurological examination. We present the clinical case of a patient in whom — due to metabolic uncontrol, accompanied by hypertensive emergency with sudden neurological deterioration, and who required advanced airway management with high suspicion of cerebral hemorrhage — ischemic cerebral infarction of atherothrombotic origin was documented with this anatomical variant. The patient underwent neurological monitoring and strict metabolic control, achieving extubating with improvement; however, he presented grade 4 sequelae according to the modified Rankin scale, which made physiatry therapy necessary.