Watershed territory infarct

Two distinct hypotheses, namely low-flow and micro-embolism, are equally supported by neuropathological and physiological studies). Watershed stroke - Background and Purpose In carotid disease, infarcts can occur in the cortical as well as internal watershed (WS or both. The patient developed multiple territory watershed infarcts and she eventually died from aspiration pneumonia days after hospitalisation. Most commonly, these involve the distal territory of the carotid artery).

They are believed to be secondary to embolic phenomenon or due to severe hypoperfusion, such as in carotid occlusion or prolonged hypotension. When a watershed infarct is seen unilaterally, this is usually due to hemodynamic narrowing of a proximal artery without intact collateral vessels (e.g., an incomplete circle of Willis with or without superimposed hypotension. Better understanding the pathophysiology of WS infarcts would guide treatment.

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The Radiology Assistant : Brain Ischemia - Vascular

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