PT - JOURNAL ARTICLE AU - Charles Badu-Boateng AU - Dhaarica Jeyanesan AU - Jonathan Easaw AU - Mark Lloyd TI - Artery of Percheron infarct: hiding in plain sight AID - 10.7861/clinmed.2021-0383 DP - 2021 Jul 01 TA - Clinical Medicine PG - e405--e407 VI - 21 IP - 4 4099 - http://www.rcpjournals.org/content/21/4/e405.short 4100 - http://www.rcpjournals.org/content/21/4/e405.full SO - Clin Med2021 Jul 01; 21 AB - A 54-year-old woman presented to the emergency department with fluctuating consciousness without localising signs and non-specific neurology. Urgent computed tomography (CT) was unremarkable and differentials of opioid overdose or post-ictal state were considered. Magnetic resonance imaging of the brain demonstrated an artery of Percheron (AOP) infarct; resulting from occlusion of an uncommon anatomical variant in the thalamic and midbrain circulation. This should be considered in patients presenting with fluctuating consciousness and normal CT.