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Subacute infarction, Broca's area & arcuate fasciculus

Smirniotopoulos, M.D. JGSM - MedPix (2014)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Subacute infarction, Broca's area & arcuate fasciculus

History: 79 y.o. man had 2 episodes (approx. 2 months apart) of sudden expressive aphasia (word finding difficulty) lasting 30 - 45 minutes - each with complete resolution. The first episode was in early four months ago; and, the most recent was three months ago. He was labeled with a TIA diagnosis; and, had negative carotid US and negative echocardiograms (for thrombus) - but with a <50% carotid stenosis. PMH - He has atrial fibrillation and has always been appropriately anticoagulated with warfarin. He does not drink EtOH or smoke, he has medication-controlled hypertension.

Findings: Small lesion in left thalamus (dark CT, bright T2) Subcortical lesion (dark CT, bright T2) in the inferior right frontal lobe

Ddx: Low grade glioma (astrocytoma Gr 2) Lacunar infarction Subcortical white matter infarct Cortical MCA infarction

Dxhow: Imaging and Clinical history

Exam: No focal neurological deficits.

No MeSH data available.


There is a small focus of increased signal intensity in the left thalmaus - consistent with a lacunar infarction.
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MPX2327_synpic59971: There is a small focus of increased signal intensity in the left thalmaus - consistent with a lacunar infarction.


Subacute infarction, Broca's area & arcuate fasciculus

Smirniotopoulos, M.D. JGSM - MedPix (2014)

There is a small focus of increased signal intensity in the left thalmaus - consistent with a lacunar infarction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2327&req=5

MPX2327_synpic59971: There is a small focus of increased signal intensity in the left thalmaus - consistent with a lacunar infarction.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Subacute infarction, Broca&#39;s area & arcuate fasciculus

History: 79 y.o. man had 2 episodes (approx. 2 months apart) of sudden expressive aphasia (word finding difficulty) lasting 30 - 45 minutes - each with complete resolution. The first episode was in early four months ago; and, the most recent was three months ago. He was labeled with a TIA diagnosis; and, had negative carotid US and negative echocardiograms (for thrombus) - but with a <50% carotid stenosis. PMH - He has atrial fibrillation and has always been appropriately anticoagulated with warfarin. He does not drink EtOH or smoke, he has medication-controlled hypertension.

Findings: Small lesion in left thalamus (dark CT, bright T2) Subcortical lesion (dark CT, bright T2) in the inferior right frontal lobe

Ddx: Low grade glioma (astrocytoma Gr 2) Lacunar infarction Subcortical white matter infarct Cortical MCA infarction

Dxhow: Imaging and Clinical history

Exam: No focal neurological deficits.

No MeSH data available.