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Posterior cerebral artery territory infarct

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Right-sided weakness and decreased vision.

Patient Data

Age: 85 years
Gender: Female

Right-sided PCA territory infarct showing hyperintense T2/FLAIR signals and diffusion restriction.

Confluent high signal foci in T2 and FLAIR sequences at subcortical, centrum semiovale, and periventricular white matter of both cerebral hemispheres (Fazekas grade III) depict microvascular ischemic events.

Case Discussion

Classic appearances of a posterior cerebral artery territory infarction with water restriction on DWI images.

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