Concluded Case

Acute infarction left PCA and MCA branches

57 yr ,F, presented with acute onset of left occipital pain for the last 4 days.Almost continuous pain,at times throbbing,at times aching type but bothering her. Since 2 days she has blurring of vision especially looking to the rt side. She also has pain in the left eye.Denied having any motor weakness . Know Diabetic sonce tye age of 40 yrs and hypertensive for 4 yrs. On eltroxin for 20 yrs. 0n exam she ha normal speech, rt homonymous hemianopia with out any long tract signs. WHAT IS THE DIAGNOSIS ?

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Concluded answer

MRI brain shows T2 / FLAIR hyperintensities with diffusion restriction noted in the left occipital temporal and left parasagittal lobes. punctate and cofluent T2 & FLAIR hyperintense areas with diffusion restriction noted in deep periventricular subcortical white matter of bilateral frontoparietal lobes. Imp : Acute infarction left PCA and MCA branches. Chronic small vessel ischemic changes.

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MRI brain shows T2 / FLAIR hyperintensities with diffusion restriction noted in the left occipital temporal and left parasagittal lobes. punctate and cofluent T2 & FLAIR hyperintense areas with diffusion restriction noted in deep periventricular subcortical white matter of bilateral frontoparietal lobes. Imp : Acute infarction left PCA and MCA branches. Chronic small vessel ischemic changes.

May be Multiple sclerosis

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