Acute cerebrovascular attack (CVA) is the second cause of death in the world and generates high costs in its treatment and recovery, as well as a great socioeconomic impact, since it is the main cause of longterm disability. Although simple brain computed tomography (CT) is still the image recommended by international guidelines for the initial evaluation and decision-making on the management of patients with suspected stroke, in recent years there have been extraordinary advances in timely diagnosis and early stroke with new tools that range from the standardization of cerebral computed tomography angiography as one of the main studies in the initial approach to the use of brain tomography and magnetic resonance imaging (MRI) perfusion techniques, which make it possible to establish the nucleus of the infarct and the potentially salvageable surrounding area, so it is possible to offer therapies that provide the patient with functionality and quality of life in the medium and long term. Taking into account the above, we are encouraged to present this case, of an elderly patient who presented this pathology, where the intestinal ileum was also added. Objective: To describe cerebral infarction in a nonagenarian affected patient. Design: Prospective, observational in a single center. Methodology: This is a systematic review of cerebral infarction in a nonagenarian patient, emphasizing its clinical characteristics and short-term complications. The information and images obtained belong to the medical personnel in charge of the case, whose reinforcements rest on the statistical package Excel, Word and JPG.