Internal watershed cerebral infarction

Case contributed by A.Prof Frank Gaillard

Presentation

Found unconscious.

Patient Data

Age: Young adult
CT

CT brain

Non contrast CT demonstrates ill defined bilateral peri-ventricular white matter low density. 

MRI

MRI brain.

MRI confirmed the CT changes, demonstrating restricted diffusion and high T2 signal seen deep to the cortex. 

Case Discussion

This young patient had prolonged hypotension as a result of a drug overdose.

This is a characteristic appearance of an internal or deep watershed infarct. 

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Case information

rID: 2626
Published: 7th May 2008
Last edited: 13th Aug 2019
Tag: infarct
Inclusion in quiz mode: Included

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