MRI BRAIN in a Case of Cardio-embolic Stroke

DWI MRI showing multiple acute infarcts in multiple arterial territories
Corresponding ADC maps
MR Angiogram showing left PCA narrowing

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.

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

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