Concluded Case

Acute infarction Rt PCA with CSVD

New case. 64 yr ,M, presented with acute onset of pain in the rt occipital area with pain inside the Rt eye of 2 days duration.Two days ago during sleep he got up around 4 AM due to pain in the Rt occipital area.Almost continuous pain, no nausia or vomiting or vertigo .The next day onwards he is having pain in the rt eye as well.Evaluated by the ophthalmologist and ad to change his specracle. Know diabetic since 15 yrs on regular insulin.On exam vitals stable . BP 140/ 90 mmjg . Normal optic fundi. Left homonymous hemianopia noted.No long that signs. No neck stiffness. What abnormality in the MRI brain.

LikeAnswersShare
Concluded answer

Thanks for the answers. MRI brain* Acute infarct involving the PCA territory( Rt occipito temp oral lobes,rt side selenium if corpus callosum and thalamus) . * Multiple lacunar infarctions rt frontal corona radiata,head of Rt basal ganglia and pons. * Chronic Small vessel ischemic changes( Fazeka Gr3). * MRA - no significant stenosis or narrowing. Started on antiplatelets ,statin ,Flunarazine and neuroprotective. Better ,discharge in a stable staye.

All Answers

Thanks for the answers. MRI brain* Acute infarct involving the PCA territory( Rt occipito temp oral lobes,rt side selenium if corpus callosum and thalamus) . * Multiple lacunar infarctions rt frontal corona radiata,head of Rt basal ganglia and pons. * Chronic Small vessel ischemic changes( Fazeka Gr3). * MRA - no significant stenosis or narrowing. Started on antiplatelets ,statin ,Flunarazine and neuroprotective. Better ,discharge in a stable staye.

Definitely problem in Mri angio rt So homonymous hemionpia Opinion of neurosurgeon

Thank you doctor
0

PICA stenosis

Diseases Related to Discussion

Corona

Cases that would interest you