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Acta Neurológica Colombiana

Print version ISSN 0120-8748

Abstract

LEON CASTELLON, Roberto et al. Infarction of Percheron artery and Holmes tremor. Case presentation. Acta Neurol Colomb. [online]. 2019, vol.35, n.3, pp.167-171. ISSN 0120-8748.  https://doi.org/10.22379/24224022258.

INTRODUCTION:

Percheron artery supplies blood to the paramedian region of both thalami. Holmes' tremor is an infrequent diagnosis, even more because of a bilateral thalamic infarction.

CLINICAL CASE:

A 72-year-old patient who was diagnosed of Holmes' tremor secondary to a Percheron artery infarction. The study of brain perfusion with 99mTc-ECD showed marked hypoperfusion of the right caudate, striatum and thalamus.

CONCLUSION:

Functional studies with 99mTc-ECD were useful to demonstrate the difference in uptake between the thalamus and the consequent disruption of the right-thalamus-striate pathway in this patient with Holmes' tremor.

Keywords : Cerebral Infarction; Tremor, Technetium; Tomography Emission-Computed Single-Photon (MeSH).

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