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Insights into Imaging
Fig. 12 | Insights into Imaging

Fig. 12

From: Cortical ischaemic patterns in term partial-prolonged hypoxic-ischaemic injury—the inter-arterial watershed demonstrated through atrophy, ulegyria and signal change on delayed MRI scans in children with cerebral palsy

Fig. 12

a–f A 1-year-old boy who sustained a previous partial-prolonged hypoxic-ischaemic injury at term gestation. Sequential axial FLAIR images (a–c) from the vertex to the level of the lateral ventricles demonstrate volume loss with ulegyria and underlying white matter abnormal high signal affecting the watershed continuum in order from anterior, through parasagittal and peri-Sylvian to posterior (solid red arrows). d, e Sequential sagittal FLAIR images from lateral to medial demonstrate the same volume loss and underlying abnormal signal involving the parasagittal, peri-Sylvian and posterior watershed as a continuum (dotted white arrows). f Mercator map overview of the cerebral surface created from a curved reconstruction of 3DT1 images confirms atrophy of the watershed as a continuum from anterior, through parasagittal and peri-Sylvian to posterior (inside schematic ‘W’)

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