case_images: PMC11162190_01
case_images: PMC11162190_02
case_images: (A and B) There is diffuse swelling and T2/FLAIR hyperintensity of left insular cortex, head of caudate nucleus, lentiform nucleus, lateral parts of left frontoparietal lobes and superior part of left temporal lobe (asterisk in A and B). They have marked restricted diffusion (not displayed here), which is indicative of left MCA cortical and lenticulostriatal territory acute infarction. (C and D) pre- and post-contrast CT studies done 8 days after the MRI was taken. Diffuse low attenuation is observed and a new focus of hypodensity is noted involving the medial part of occipitotemporal lobe (thick arrow in C and D) suggestive of right PCA territory acute infarction. (E) The middle cerebral artery segments and its branches showed normal caliber, smooth wall, and patent lumen (thin arrow in E).
case_images: IMCRJ-17-581-g0001.jpg
case_images: PMC11162190_02_IMCRJ-17-581-g0001.jpg
case_images: f0001
case_images: The results revealed left middle cerebral artery infarction (fronto-temporo-parieto-insular) and lenticulostriate territory (acute infarction) (Figure 1A and B). A new focus of hypodensity is noted involving the medial part of the right occipitotemporal lobe suggestive of right PCA territory acute infarction (Figure 1C and D). The middle cerebral artery segments and its branches showed normal caliber, smooth wall, and patent lumen (Figure 1E). 