Concluded Case

A case of Ataxic Hemiparesis- Acute Infarction Lt anterior circulation

New case 76 yr,F, Kown diabetic, presented with wake up Rt sided weakness of 11 hrs duration . On exam vitals stable ,BP140/ 90 mmhg ,Rt sided ataxic hemiparesis with gr 4/ 5 power either extensor plantar and intact sensations. What abnormality in the MRI brain?

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Thanks for all answeres. Discussion - What abnormality in the MRI Brain. Acute infarction involving the left frontal periventricular white matter,genu and posterior limb of internal capsule,globus palladium,extending inferiority in to the Left Cerebral peduncle. Chronic cerebral small vessel disease changes noted. On medical management,better,discharged

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Left basal ganglia hyperintensity in dwi and flair with hypointesity in adc s/o acute ischaemic stroke Also periventricuar leucoriosis grade 3 With multiple small vessel changes are there In one of flair section left mid brain also seems hyperintens..!!

I agree
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Lt basal ganglia infarct with mass effect Diffuse cortical atrophy, probably age related

Stroke in lacunar thalamic region lt effect in body on right

Thank you doctor
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Left basal ganglion infarct with mild mass effect.

Valuable opinion ,something more at your level
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Left basal gaglia infarct with mild mass effects

Iesion in lt thalamic lesions

Thank you doctor
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Thanks for all answeres. Discussion - What abnormality in the MRI Brain. Acute infarction involving the left frontal periventricular white matter,genu and posterior limb of internal capsule,globus palladium,extending inferiority in to the Left Cerebral peduncle. Chronic cerebral small vessel disease changes noted. On medical management,better,discharged

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