Borderzone infarct

Case contributed by A.Prof Frank Gaillard

Presentation

CT obtained post fall.

Patient Data

Age: 70 years
Gender: Male
CT

In addition to bilateral chronic small vessel ischaemic change, on the left there is patchy cortical infarction in a borderzone distribution.

CT

Single image through the left internal carotid artery demonstrates a high grade stenosis. 

Case Discussion

Care must be taken when dismissing change as chronic small vessel ischaemia, and evidence for cortical infarction should be sought. In this case the pattern of cortical involvement suggested a borderzone (watershed) infarct and a CTA confirmed the presence of a high grade left sided stenosis. 

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Case information

rID: 23866
Case created: 15th Jul 2013
Last edited: 26th Feb 2016
Inclusion in quiz mode: Included

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