Chronic right middle cerebral artery territory infarct

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Tonic-clonic seizure.

Patient Data

Age: 70
Gender: Male

Extensive right-sided encephalomalacia/gliosis in keeping with a history of right MCA territory infarct. Hypodensity within the right internal capsule, cerebral peduncle, midbrain and pons in keeping with Wallerian degeneration. Mild ex-vacuo dilatation of the right lateral ventricle.

Case Discussion

Typical findings of a chronic ischemic stroke. 

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