Ischemic stroke

Case contributed by Dr Bahman Rasuli

Presentation

Left-sided hemiparesis, aphasia, and mouth deviation.

Patient Data

Age: 65 years
Gender: Female
MRI

High signal on DWI with corresponding low ADC values is seen involving the right-sided basal ganglia and cortex of the MCA and ACA territories of the right cerebral hemisphere.

Hyperintensity along the intraluminal part of the right internal carotid artery and the right middle cerebral artery is noted.

High signal foci in T2 and flair sequences at subcortical and periventricular the white matter of both cerebral hemispheres depicts microvascular ischemic events.

Case Discussion

Water restriction on DWI and ADC maps are in-keeping with extensive acute ischemic infarction of right internal carotid artery territory.

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Case information

rID: 70063
Published: 19th Aug 2019
Last edited: 21st May 2020
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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