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Insights into Imaging
Fig. 16 | Insights into Imaging

Fig. 16

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. 16

a–d T2-weighted imaging of a 6-year-old boy who sustained a severe/catastrophic prolonged hypoxic-ischaemic injury at term gestation. Axial image just below the vertex (a) and sagittal image of the right lateral peri-sylvian region (b) shows extensive injury of the watershed continuum represented by multi-cystic encephalomalacia (red arrows). Of note, c and d are the extension of peri-Sylvian involvement into the posterior temporal lobe and extension of the parasagittal cystic encephalomalacia up to the Sylvian fissure (dashed black arrows) but with preservation of the superior temporal gyrus anteriorly seen on the sagittal images (solid white arrows)

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