An Uncommon Silent Strategic Left Middle Cerebral Artery Infarction

Abstract

Impairment of memory retrieval is not the major presenting symptoms of vascular cognitive impairment (VCI), which can result from silent strokes occurring in uncommon vascular territories, and can be detected only on neuroimaging or neuropathology. The neuroanatomical substrate for VCI remains unclear. This report presents an uncommon location of silent strategic infarction resulting in an insidious onset and gradual progression of the cognitive decline without overt sensorimotor deficits.




J Med Cases. 2019;10(7):203-205
doi: https://doi.org/10.14740/jmc3328