Case Report: Artery of Percheron infarction following surgical clipping of multiple intracranial aneurysms

For patients with multiple intracranial aneurysms concomitant with vertebrobasilar transient ischemic attacks (TIAs), it is important to be vigilant about the possibility of posterior circulation perforating artery infarction following clipping. For patients presenting with altered consciousness, vertical gaze palsy, and memory impairment, if cranial MRI reveals infarctions in the bilateral paramedian thalamic regions, AOP infarction should be considered first. Raising awareness of AOP infarction, along with early detection, diagnosis, and treatment, can significantly improve clinical symptoms and prognosis for these patients.