Caso de la semana: Hombre de 40 años con un largo historial de dolores de cabeza, problemas de memoria

Oct 2, 2016

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3 octubre 2016 -- Historia: Un hombre de 40 años presenta un largo historial de dolores de cabeza y problemas de memoria. El paciente afirma no haber tenido traumatismos y no existen otros déficits neurológicos notables.

El examen por resonancia magnética se realizó.

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Images Large Radiol 233067 fig4 67a25d14e42fc

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Images in a 74-year-old male patient who presented at the hospital with acute symptoms of a right hemispheric ischemic stroke and a National Institutes of Health Stroke Scale (NIHSS) score of 24. (A) Nonenhanced CT image shows no signs of early infarction, whereas (B) CT perfusion image shows a large perfusion deficit in the territory of the middle cerebral artery and anterior cerebral artery caused by an extracranial occlusion in the right internal carotid artery. (C) Digital subtraction angiography shows the occlusion in the C1 segment. The extracranial occlusion was passed, reperfused, and subsequently stented (D, E). The final contrast injection did not reveal any intracranial occlusions within the territory of the internal carotid artery (F). At the 24-hour follow-up, there was no infarction on (G) the nonenhanced CT image, and the NIHSS score had decreased to 3 points. Image courtesy of RSNA.

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