Lenticulostriate artery acute infarct - left

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Acute confusion status for 12 hours

Patient Data

Age: 60 years
Gender: Female

Focal hypodensity involving parts of left caudate nucleus, left lentiform nucleus and left internal capsule.

Incidental finding of a well-defined calcified extra axial lesion in the left cerebellopontine angle with broad attachment with the petrous bone, most likely a meningioma.

Case Discussion

Lenticulostriate arteries are deep penetrating arteries of the middle cerebral artery and their territory includes most of the basal ganglia.

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