Acute pontine infarct

Case contributed by Dr Bahman Rasuli

Presentation

Dizziness and disequilibrium.

Patient Data

Age: 75 years
Gender: Male
MRI

Central pontine region of focal T2/FLAIR hyperintensity associated with high diffusion signal, consistent with an acute infarct.

High T2/FLAIR signal foci in the subcortical and periventricular white matter of both cerebral hemispheres, consistent with chronic small vessel ischemia.

Prominence of the ventricular system and brain sulci, consistent with generalized cerebral atrophy.

Mega cisterna magna is seen as congenital variant.

Case Discussion

Regarding the above imaging findings, an acute pontine infarct is the final diagnosis.

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Case information

rID: 72606
Published: 3rd Dec 2019
Last edited: 3rd Dec 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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