Concluded Case

Acute infarction Rt PONS

New case 64 yr old ,M, DM type 2 and hypertensive both detected 3 yrs ago ,on regular medicine and follow up,presented with acute onset of vertigo ,vomiting with unsteadiness developed on 23 rd of this month at 4 PM while gettig up from afternoon sleep.He vomited once . On exam BP 140/90 mmhg, Rt eye adduction is not full and left abducting eye shows nystagmus. Partial Horner's rt eye with rt upper and lower limb cerebellar signs.Intact sensations No bruit over carotid or vertebrals. What abnormality in the MRI brain ? Where is the site of present lesion in the brain?.

1 Like

LikeAnswersShare
Concluded answer
Thanks Curofy and al Doctors who answered thdcase. Discussion: What abnormality in the brain and where is the site of the present lesion MRI shows old ischemic infarction left PCA. The site of Present lesion - acute infarction Rt Pons
All Answers
64/f DM/HTN Acute giddiness with vomiting ipsilateral ataxic hemiparesis with partial honors rt eye Diagnosis- Rt. Internuclear Ophthalmoplegia with Partial Rt. Hornor's syndrome. Spinothalmic tract spared ( sensation intact) Mri brain - Acute infarction in Rt.mid dorsal pontine region extended into dorso medullary junction (MCP) seen on Dwi + on flair ( no dwi flair miss match) Old left pca territory stroke with gliotic scar Mri angio- looks Diabetic Atriopathy Basilar filling well but left VA non visualise Left pca occlusion (chronic) Rt. Ica supraclinoid narrowing distally( may be possibility of artifact) Treatment- DAPT STATIN swallowing assessment Hydration
I agree
0
Thanks Curofy and al Doctors who answered thdcase. Discussion: What abnormality in the brain and where is the site of the present lesion MRI shows old ischemic infarction left PCA. The site of Present lesion - acute infarction Rt Pons
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
Left temporal lobe gliosis ? Old stroke, is there with acute stroke in rt cerebellar peduncle and mid brain
I agree
0

View 2 other replies

Old infarct left PCA
Thank you doctor
0
New case

Cases that would interest you