Acute PCA territory cerebral infarction

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Visual defect and dysarthia of 2 days duration

Patient Data

Age: 50 years
Gender: Female

Right inferior temporal and occipital gyral swelling and altered signal in cortical and subcortical area exhibiting restricted diffusion in DWI, bright signal in FLAIR and T2 and slight low signal in T1. No mass effect or hemorrhagic transformation.

MRA reveals occluded P1 segment of right PCA.

Diagnosis: Right PCA territory acute cerebral infarction.

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