Presentation
Rapid functional and cognitive decline.
Patient Data
Age: 85 years
Gender: Male
From the case:
Embolic shower
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Bilateral hypodense areas in the centrum semiovale with lacunar infarcts, bilateral insular infarcts, and bilateral punctate cerebellar infarcts. Small bilateral frontal and right parietal cortical infarcts and left frontal subcortical infarct.
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An MRI scan performed 7 days after the CT:
Case Discussion
Since the infarcts are in both the anterior and posterior vascular territories, one can fairly assume that they originate from a central source, e.g. the heart or the aorta.