Posterior cerebral artery (PCA) infarct

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Sudden onset of visual disturbances with dizziness and nausea.

Patient Data

Age: 50 years
Gender: Female

Hyperintense T2 and FLAIR signals with restricted diffusion in the left posterior cerebral artery territory with no hemorrhagic component on GE sequence.

Confluent foci of high signal on T2 and FLAIR sequences of the periventricular white matter, subcortical regions and centrum semiovale, Fazekas grade III (chronic small vessel ischemia).

Case Discussion

MRI features of an acute posterior cerebral artery infarction.

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