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Artery Of Percheron
The artery of Percheron (AOP) is a rare anatomical variation in the brain vascularization in which a single arterial trunk arises from the posterior cerebral artery (PCA) to supply both sides of the thalamus and midbrain. Clinical significance The functions of the thalamus and midbrain include the regulation of consciousness, sleep and alertness. Occlusion of the artery of Percheron, for example by a clot, could result in a posterior circulation infarct impairing structures on both sides of the brain. This can produce a bizarre disturbance such as sleep from which the patient cannot be awakened. History The artery of Percheron was first described in 1973 by the French medical scientist Gerard Percheron. In popular culture In Season 3 episode 13 of Chicago Med titled ''Best Laid Plans'', a patient was found to have this anomaly after she was found in an unawakenable state caused by a clot in this area. As the patient was post the window for TPA, the patient was cured after l ...
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Posterior Cerebral Artery
The posterior cerebral artery (PCA) is one of a pair of cerebral arteries that supply oxygenated blood to the occipital lobe, as well as the medial and inferior aspects of the temporal lobe of the human brain. The two arteries originate from the distal end of the basilar artery, where it bifurcates into the left and right posterior cerebral arteries. These anastomose with the middle cerebral artery, middle cerebral arteries and internal carotid artery, internal carotid arteries via the posterior communicating arteries. Structure The posterior cerebral artery is subdivided into 4 segments: P1: pre-communicating segment * Originated at the termination of the basilar artery * May give rise to the artery of Percheron if present P2: post-communicating segment * From the PCOM around the midbrain * Terminates as it enters the quadrigeminal ganglion * Gives rise to the choroidal branches (medial and lateral posterior choroidal arteries) P3: quadrigeminal segment * Courses poster ...
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Clot
A thrombus ( thrombi) is a solid or semisolid aggregate from constituents of the blood (platelets, fibrin, red blood cells, white blood cells) within the circulatory system during life. A blood clot is the final product of the blood coagulation step in hemostasis in or out of the circulatory system. There are two components to a thrombus: aggregated platelets and red blood cells that form a plug, and a mesh of cross-linked fibrin protein. The substance making up a thrombus is sometimes called cruor. A thrombus is a healthy response to injury intended to stop and prevent further bleeding, but can be harmful in thrombosis, when a clot obstructs blood flow through a healthy blood vessel in the circulatory system. In the microcirculation consisting of the very small and smallest blood vessels the capillaries, tiny thrombi known as microclots can obstruct the flow of blood in the capillaries. This can cause a number of problems particularly affecting the alveoli in the lungs of the ...
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Brain
The brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head (cephalization), usually near organs for special senses such as visual perception, vision, hearing, and olfaction. Being the most specialized organ, it is responsible for receiving information from the sensory nervous system, processing that information (thought, cognition, and intelligence) and the coordination of motor control (muscle activity and endocrine system). While invertebrate brains arise from paired segmental ganglia (each of which is only responsible for the respective segmentation (biology), body segment) of the ventral nerve cord, vertebrate brains develop axially from the midline dorsal nerve cord as a brain vesicle, vesicular enlargement at the rostral (anatomical term), rostral end of the neural tube, with centralized control over all body segments. All vertebr ...
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Thrombolysis
Thrombolysis, also called fibrinolytic therapy, is the breakdown (lysis) of thrombus, blood clots formed in blood vessels, using medication. It is used in ST elevation myocardial infarction, stroke, and in cases of severe venous thromboembolism (massive pulmonary embolism or extensive deep vein thrombosis). The main complication is bleeding (which can be dangerous), and in some situations thrombolysis may therefore be unsuitable. Thrombolysis can also play an important part in reperfusion therapy that deals specifically with blocked artery, arteries. Medical uses Diseases where thrombolysis is used: * ST elevation myocardial infarction: Large trials have shown that mortality can be reduced using thrombolysis (particularly fibrinolysis) in treating Myocardial infarction, heart attacks. It works by stimulating secondary fibrinolysis by plasmin through infusion of analogs of tissue plasminogen activator (tPA), the protein that normally activates plasmin. * Stroke: Thrombolysis reduc ...
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Alteplase
Alteplase, sold under the brand name Activase among others, is a biosynthetic form of human tissue-type plasminogen activator (t-PA). It is a thrombolytic medication used to treat acute ischemic stroke, acute ST-elevation myocardial infarction (a type of heart attack), pulmonary embolism associated with low blood pressure, and blocked central venous catheter. Alteplase is given by injection into a vein or artery. Alteplase is the same as the normal human plasminogen activator produced in vascular endothelial cells and is synthesized via recombinant DNA technology in Chinese hamster ovary cells (CHO). Alteplase causes the breakdown of a clot by inducing fibrinolysis. It is on the World Health Organization's List of Essential Medicines. Medical uses Alteplase is indicated for the treatment of acute ischemic stroke, acute myocardial infarction, acute massive pulmonary embolism, and blocked catheters. Similar to other thrombolytic drugs, alteplase is used to dissolve ...
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Chicago Med
''Chicago Med'' is an American medical drama series broadcast by NBC and created by Dick Wolf as the third installment of the ''Chicago'' franchise. It stars Nick Gehlfuss, Yaya DaCosta, Torrey DeVitto, Rachel DiPillo, Colin Donnell, Brian Tee, S. Epatha Merkerson, Oliver Platt, Marlyne Barrett, Norma Kuhling, Dominic Rains, Steven Weber, Guy Lockard, Kristen Hager, Jessy Schram, Luke Mitchell, Sarah Ramos and Darren Barnet, it premiered on November 17, 2015. ''Chicago Med'' follows the emergency department (ED) doctors and nurses of the fictional Gaffney Chicago Medical Center. As they work to save lives, these members deal with the personal and professional pressures of their jobs. In March 2024, the series was renewed for a tenth season which premiered on September 25, 2024. In May 2025, the series was renewed for an eleventh season. Premise Set in Chicago, ''Chicago Med'' is the third series in Dick Wolf's ''Chicago'' franchise. It focuses on the emergenc ...
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Gerard Percheron
Gerard is a masculine forename of Proto-Germanic origin, variations of which exist in many Germanic and Romance languages. Like many other early Germanic names, it is dithematic, consisting of two meaningful constituents put together. In this case, those constituents are ''gari'' > ''ger-'' (meaning 'spear') and -''hard'' (meaning 'hard/strong/brave'). Common forms of the name are Gerard (English, Scottish, Irish, Dutch, Polish and Catalan); Gerrard (English, Scottish, Irish); (Italian, and Spanish); ( Portuguese); (Italian); (Northern Italian, now only a surname); (variant forms and , now only surnames, French); ( Irish); Gerhardt and Gerhart/Gerhard/Gerhardus (German, Dutch, and Afrikaans); ( Hungarian); (Lithuanian) and / ( Latvian); (Greece). A few abbreviated forms are Gerry and Jerry (English); (German) and (Afrikaans and Dutch); (Afrikaans and Dutch); (Afrikaans); (Dutch) and ( Bulgarian). The introduction of the name 'Gerard' into the English language to ...
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Posterior Circulation Infarct
Posterior circulation infarct (POCI) is a type of cerebral infarction affecting the posterior circulation supplying one side of the brain. Posterior circulation stroke syndrome (POCS) refers to the symptoms of a patient who clinically appears to have had a posterior circulation infarct, but who has not yet had any diagnostic imaging (e.g. CT Scan) to confirm the diagnosis. It can cause the following symptoms: * Cranial nerve palsy AND contralateral motor/sensory defect * Bilateral motor or sensory defect * Eye movement problems (e.g.nystagmus) * Cerebellar dysfunction * Isolated homonymous hemianopia * Vertigo It has also been associated with deafness. See also * Stroke Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemor ... * Artery of Percheron References External links ...
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Vascular Occlusion
Vascular occlusion is a blockage of a blood vessel, usually with a clot. It differs from thrombosis in that it can be used to describe any form of blockage, not just one formed by a clot. When it occurs in a major vein, it can, in some cases, cause deep vein thrombosis. The condition is also relatively common in the retina, and can cause partial or total loss of vision. An occlusion can often be diagnosed using Doppler sonography (a form of ultrasound). Some medical procedures, such as embolisation, involve occluding a blood vessel to treat a particular condition. This can be to reduce pressure on aneurysms (weakened blood vessels) or to restrict a haemorrhage. It can also be used to reduce blood supply to tumours or growths in the body, and therefore restrict their development. Occlusion can be carried out using a ligature; by implanting small coils which stimulate the formation of clots; or, particularly in the case of cerebral aneurysms, by clipping. See also * Cent ...
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Posterior Cerebral Artery
The posterior cerebral artery (PCA) is one of a pair of cerebral arteries that supply oxygenated blood to the occipital lobe, as well as the medial and inferior aspects of the temporal lobe of the human brain. The two arteries originate from the distal end of the basilar artery, where it bifurcates into the left and right posterior cerebral arteries. These anastomose with the middle cerebral artery, middle cerebral arteries and internal carotid artery, internal carotid arteries via the posterior communicating arteries. Structure The posterior cerebral artery is subdivided into 4 segments: P1: pre-communicating segment * Originated at the termination of the basilar artery * May give rise to the artery of Percheron if present P2: post-communicating segment * From the PCOM around the midbrain * Terminates as it enters the quadrigeminal ganglion * Gives rise to the choroidal branches (medial and lateral posterior choroidal arteries) P3: quadrigeminal segment * Courses poster ...
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Alertness
Alertness is a state of active attention characterized by high sensory awareness. Someone who is alert is vigilant and promptly meets danger or emergency, or is quick to perceive and act. Alertness is a psychological and physiological state. Lack of alertness is a symptom of a number of conditions, including narcolepsy, attention deficit hyperactivity disorder, chronic fatigue syndrome, depression, Addison's disease, and sleep deprivation. Pronounced lack of alertness is an altered level of consciousness. States with low levels of alertness include drowsiness. The word is formed from "alert", which comes from the Italian (on the watch, literally: on the height; 1618). Wakefulness refers mainly to differences between the sleep and waking states; vigilance refers to sustained alertness and concentration. Both terms are sometimes used synonymously with alertness. Importance and difficulty People who have to be alert during their jobs, such as air traffic controllers or ...
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Sleep
Sleep is a state of reduced mental and physical activity in which consciousness is altered and certain Sensory nervous system, sensory activity is inhibited. During sleep, there is a marked decrease in muscle activity and interactions with the surrounding environment. While sleep differs from wakefulness in terms of the ability to react to Stimulus (physiology), stimuli, it still involves active Human brain, brain patterns, making it more reactive than a coma or disorders of consciousness. Sleep occurs in sleep cycle, repeating periods, during which the body alternates between two distinct modes: rapid eye movement sleep (REM) and Non-rapid eye movement sleep, non-REM sleep. Although REM stands for "rapid eye movement", this mode of sleep has many other aspects, including virtual Rapid eye movement sleep#Muscle, paralysis of the body. Dreams are a succession of images, ideas, emotions, and sensations that usually occur involuntarily in the mind during certain stages of sleep. ...
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