Artery of Percheron territory old infarction

Case contributed by Shalitha Bandara Samarakoon
Diagnosis certain

Presentation

A known patient with systemic lupus erythematosus (SLE) experiences a sudden onset of drowsiness.

Patient Data

Age: 35 years
Gender: Female

T1 low, T2 high signal intensity (CSF signal intensity) focal areas are observed in both thalami, which are almost symmetrical, with no diffusion restriction or blooming artifacts, indicating old infarctions. Mild global cerebral atrophy is also noted, along with prominent extra-axial CSF spaces.

Case Discussion

The MRI reveals chronic infarctions in the artery of Percheron territory against a background of mild cerebral atrophy.

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