Embolic left motor strip infarct

Case contributed by Sandeep Bhuta
Diagnosis certain

Presentation

Right Sided Weakness ? TIA

Patient Data

Age: Adult

DWI demonstrates small embolic infarct involving left motor strip from a complicated plaque in left ICA bulb seen on T1 fat-saturated axial image as a high signal abnormality, confirmed on contrast-enhanced MR angiography (CEMRA).

Case Discussion

Diffusion-weighted imaging allows differentiation of acute stroke from other stroke mimics and will demonstrate increased DWI signal and reduced ADC values.

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