Concluded Case

Acute infarction Rt PCA territory.

New case. 66 yr ,M, Known Diabetic and hypertensive presented with acute onset of severe rt occipital head ache with out vomiting or vertigo. Head ache is continous ,localised, evaluated at local hospital ,received flunarazine . No relief and attended the OPD. Exam BP 150/ 90 mmhg . Normal optic fundi. Left hemianopia . No long teact signs. What abnormality in the MRI.?

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Concluded answer
Thanks for all answeres. NRI report: Acute infarction in the Rt PCA territory and Rt anterior watershed territory. Acute lacunar infarction rt thalamus . MRA - Distal P2 segment, p3 & p4 segments of Rt PCA shows absent signals suggestive of complete occlusion. On medical management. Already seen by Interventional Radiologist ,suggested medical management. Pt is better,discharged.
All Answers
Thanks for all answeres. NRI report: Acute infarction in the Rt PCA territory and Rt anterior watershed territory. Acute lacunar infarction rt thalamus . MRA - Distal P2 segment, p3 & p4 segments of Rt PCA shows absent signals suggestive of complete occlusion. On medical management. Already seen by Interventional Radiologist ,suggested medical management. Pt is better,discharged.
Scan shows post cerebellar opaque lesion is cerebellar infarct as MRA shows oclluded post cerebellar artery
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Hyperdense right occipital region. May be hermorhagic cause on posterio Cerebellar artery
Thank you doctor
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Right occipital infarction , right posterior cerebral artery occlusion
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Hyperintense shadow Demyelination
Thank you doctor
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