Unilateral right paramedian infarction of thalamus and midbrain
Impaired eye movements and left-sided motor hemineglect.
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Abnormal signal area (high on T2/FLAIR) diffusion restriction is present it the right thalamus dorsomedial nucleus and paramedian midbrain related to ischemic stroke events.
High signal foci in T2 and FLAIR sequences in the subcortical and periventricular white matter of both cerebral hemispheres depicts microvascular ischemic events.
The paramedian infarct is rarely found as an isolated lesion and always seen bilaterally when there is only one arterial pedicle.