Cortical laminar necrosis

Case contributed by Dr Inés Alonso Sánchez

Presentation

Lethargy. Stroke 2 weeks earlier.

Patient Data

Age: 75 years
Gender: Male
ct

Laminar gyriform hyperdensity in the right frontal, parietal and temporal lobes, associated with underlying white matter hypodensity, which is consistent with cortical laminar necrosis as a consequence of a right MCA ischemic infarct.

2 weeks earlier

ct

Hypodense areas with loss of grey-white matter differentiation centered at the right basal ganglia, insula, and right frontal and temporal lobes, consistent with MCA ischemic infarct.

Case Discussion

Findings are consistent with cortical laminar necrosis due to a right MCA ischemic infarct.

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