Presentation
CT obtained post fall.
Patient Data
Age: 70 years
Gender: Male
From the case:
Borderzone infarct
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Info
In addition to bilateral chronic small vessel ischaemic change, on the left there is patchy cortical infarction in a borderzone distribution.
From the case:
Borderzone infarct
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Info
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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