A 70 y o male admitted for stroke evaluation.
Here is MRI Brain diffusion with MR Angio.
Bilateral medial occipital lobes, mesial temporal lobes and thalami (PCA territory) spared.
On Non contrast 3 D TOF brain and 2 D TOF neck angio both the ACAs and MCAs not visualized Neck angio suboptimal as pt was non coperative.
Diagnosis : Anterior circulation stroke - Simultaneous bilateral hemispheric infarcts / Bilateral ACA - MCA territory.
2 comments:
What a coincidence, I too got to see a similar patient this week....
The natural history of any disease is that it is based on the rapidity with which the disease progressess... we see patients walking normally with carotid occlusions... some in horrible scenario with small infartcs... wonder how the disease mechanisms plays with us... !!!
nice post Balaji !!!
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