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Fogging phenomenon on a left-sided PCA stroke

Case contributed by Alexey Eyrikh
Diagnosis almost certain

Presentation

Left-sided PCA stroke.

Patient Data

Age: Adult

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Initial scan day of admission

ct

Well-demarcated left-sided subacute PCA stroke.

Control CT scan 6 days later

ct

In a follow-up CT scan performed 6 days later, the infarcted area is now isodense and barely distinguishable from surrounding normal brain tissue.

Case Discussion

While acute cerebral infarcts are hypodense lesions, after a week or so, the fogging phenomenon often occurs. This refers to an evolution in density of the lesion from hypodense to isodense to surrounding brain parenchyma.

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