% strPathPics = Session("strPathPicsL") imgBg = strPathPics + Session("strMedia") %>
A 79 year old woman with atrial fibrillation presented with the acute onset of a global aphasia and tetraparesis.
Cerebral angiogram: (Left: left internal carotid artery injection (AP view); Middle: right internal carotid artery injection (AP view); Right: right internal artery injection (lateral view). With the angiogram, the reason behind the bilateral MCA stroke becomes clear. The left internal carotid artery is occluded; the right middle cerebral artery is occluded (presumably from an embolus); and both anterior cerebral arteries are spared as there is an intact anterior communication artery that allows filling of the left ACA from the right hemisphere.
The Electronic Curriculum is copyrighted 1998, Case Western Reserve University School of Medicine.