Watershed cerebral infarction

Case contributed by Dr Dalia Ibrahim

Presentation

Right sided weakness

Patient Data

Age: 65 years
Gender: Male
MRI

Multiple left subcortical infractions located at the border zone of MCA/ACA and MCA/PCA as well as the centrum semiovale.

Loss of signal void of the left internal carotid artery.

Annotated image

Multiple left subcortical infractions located at the border zone of MCA/ACA and MCA/PCA as well as the centrum semiovale.

Loss of signal void of the left internal carotid artery.

Case Discussion

In unilateral watershed infarction, you should check both internal carotid arteries. 

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