Pericallosal ACA infarction

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Acute LOC and reduced left arm power. No history provided, from interstate and NESB.

Patient Data

Age: 85 years
Gender: Female
ct

Right pericallosal hypoattenuation in keeping with recent ACA infarction. No evidence of hemorrhagic transformation.

MRI 1 week earlier

mri

Moderately large right anterior cerebral artery territory infarct involving the right aspect of the genu and body of the corpus callosum. Superiorly the diffusion restriction almost extends to the medial precentral gyrus. Several tiny focal infarcts in the right basal ganglia.

IMPRESSION

Acute right pericallosal ACA infarct.

Case Discussion

Nice case example of the vascular territory supplied by the pericallosal branch of the ACA.

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