Embolic shower

Case contributed by Yaïr Glick
Diagnosis certain


Rapid functional and cognitive decline.

Patient Data

Age: 85 years
Gender: Male

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.

Done 7 days later


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.

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