Vol. 3, Issue 1, Article 3 Neurographics logo Mironov

Case 11

81 year-old man presented with stroke and right-side weakness.

CT image (Fig 1) shows irregular hemorrhagic lesion separated into segments located temporo-occipital and probably with different age of occurrence.

MR images (Fig 2) after Gd-administration shows pial enhancement in left temporo-occipital area and several prominent vascular structures consequently to confused venous drainage in temporo - occipital area.

A sequence of internal carotid artery phlebograms demonstrates in early venous phase delayed local venous circulation with absence of temporo-occipital vein (Fig 3).

The late venous phase (Fig 4) shows delayed appearance of the cortical vein with venous stasis (arrow).

Figure 1.

Figure 2.

Figure 3.

Figure 4.

 



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