Affordable Access

Multiple watershed cerebral infarcts.

Authors
  • Pauciulo, Alfredo
  • Monteforte, Maria Grazia
  • Lorusso, Vita Santa
  • Africa, Emilio
  • Vadalà, Rita
  • Tartaglione, Tommaso
Type
Published Article
Journal
Rays
Publication Date
Jan 01, 2005
Volume
30
Issue
3
Pages
207–213
Identifiers
PMID: 16512065
Source
Medline
License
Unknown

Abstract

The case of a 63-year-old female patient affected by arterial hypertension under home therapy, with disordered consciousness and confusion, is discussed. At the emergency department of another hospital she underwent cranial CT which showed mild swelling of right cerebral hemisphere. Based on the clinical suspicion of herpes simplex encephalitis compatible with a first MRI examination of the brain, the patient was admitted to the department of infectious disease of the polyclinic to confirm the diagnosis and plan the therapeutic approach. MRI was repeated and completed with EPI-DWI sequences and PRESS spectroscopy. It did not rule out categorically the infectious/inflammatory pattern but, based on a careful evaluation of the anatomic distribution of acute lesions, the most likely diagnostic hypothesis was the presence of multiple watershed cerebral infarcts on the right side.

Report this publication

Statistics

Seen <100 times