Cardio-embolic strokes refer to infarcts in brain due to embolism from heart. Typically, infarcts in cardio-embolic strokes involve multiple arterial territories. In the MRI shown above, we can see multiple acute infarcts in bilateral anterior as well as posterior circulation territories. This patient was a 60 year old lady, with patent foramen ovale (PFO) and left atrial clot (LA clot). She was started on anticoagulation with low molecular weight heparin.
