Hippocampal and thalamic infarction from vertebral artery dissecting aneursym
Diagnosis certain
Presentation
Transfer to INR center with right V1 dissecting aneurysm. Symptoms at onset included right upper and lower limb weakness, sensory loss and incoordination. Right facial paresthesia. Visual field defect and slurred speech.
Patient Data
Age: 75 years
Gender: Male
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Ill defined hypoattenuation of the left hippocampus and posterolateral aspect of the left thalamus. Hyperdense left P2.
CT angiogram
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Occlusive filling defect of the left PCA 2
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Restricted diffusion and low ADC values in the left posterolateral thalamus, cuneus of the left occipital lobe and posterior left parahippocampal gyrus.
Case Discussion
The patient underwent INR sacrifice of the right vertebral artery.
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