Caso de la semana: Mujer de 53 años con inflamación cervical

Oct 2, 2016

2018 05 29 22 00 4298 10115782 20160630140654 0 Medium

3 octubre 2016 -- Historia: Una mujer de 53 años presenta inflamación cervical sin dolor en el lado derecho que lleva padeciendo durante aproximadamente tres años. Afirma que no padece fiebre, sudores nocturnos ni pérdida de peso.

La angiografía y las imágenes por resonancia magnética se muestran a continuación. Haga clic para ampliar. Por orden: angiografía, angiografía por resonancia magnética (ARM) con realce de contraste, resonancia magnética postcontraste potenciada en T1, resonancia magnética potenciada en T2 e imágenes por ARM con tiempo de vuelo (TOF).

Haga clic aquí para el caso

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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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