Normal head (CT perfusion)

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Sudden onset occipital headache and right arm and leg weakness. Slurred speech. Onset 90 minutes before scan. Previous TIA.

Patient Data

Age: 40 years
Gender: Female

Non contrast CT

ct

No intra or extra-axial hemorrhages. Grey-white matter differentiation is preserved. No midline shift or mass effect. No dense vessel or insular ribbon sign.

CT angiogram

ct

Normal opacification of the circle of Willis and its branches. Normal opacification of the vertebrobasilar system. No filling defects or aneurysms identified.

CT perfusion

ct

No evidence of core infarct or ischemic penumbra.

Case Discussion

Case example of a normal CT perfusion.

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