Left posterior cerebral artery territory infarct

Case contributed by Dr Nauman Akram

Presentation

Right sided weakness and decreased vision

Patient Data

Age: 70 years
Gender: Male

There is a wedge-shaped hypodense area in the left occipital and inferior mesial temporal lobe involving cortex and subcortical white matter. There is a loss of sulcal and gyral differentiation in these areas with some comparative effacement of the left occipital horn of lateral ventricle. 

This hypodensity represents infarct in the typical territory of the left posterior cerebral artery.

Case Discussion

The PCA supplies occipital and mesial inferior temporal lobes with parts of the parietooccipital cortex,  midbrain, subthalamic nucleus, basal nucleus and thalamus.

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