Case 1, a 45-year-old female (same patient shown in Figure 1 images) with recurrent infarctions in the right middle cerebral artery. (A) Axial fluid attenuation.

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Presentation transcript:

Case 1, a 45-year-old female (same patient shown in Figure 1 images) with recurrent infarctions in the right middle cerebral artery. (A) Axial fluid attenuation inversion recovery (FLAIR) images demonstrate areas of prior right middle cerebral artery infarction, including the posterior insular cortex and temporal lobe. (B) Diffusion-weighted imaging and apparent diffusion coefficient on admission show a new acute infarct, also in right middle cerebral artery territory, now involving the basal ganglia and opercular frontal lobe. (C) Digital subtraction angiogram images show an intraluminal thrombus along the posterior margin of the right carotid bulb (solid arrow) and an embolus in the anterior M2 division of the right middle cerebral artery (dashed arrow). Case 1, a 45-year-old female (same patient shown in Figure 1 images) with recurrent infarctions in the right middle cerebral artery. (A) Axial fluid attenuation inversion recovery (FLAIR) images demonstrate areas of prior right middle cerebral artery infarction, including the posterior insular cortex and temporal lobe. (B) Diffusion-weighted imaging and apparent diffusion coefficient on admission show a new acute infarct, also in right middle cerebral artery territory, now involving the basal ganglia and opercular frontal lobe. (C) Digital subtraction angiogram images show an intraluminal thrombus along the posterior margin of the right carotid bulb (solid arrow) and an embolus in the anterior M2 division of the right middle cerebral artery (dashed arrow). Kyle Wojcik et al. TOJ 2018;18:115-120 Copyright © 2018 by Ochsner Clinic Foundation