63-year-old woman with right hemiparesis and aphasia.

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Presentation transcript:

63-year-old woman with right hemiparesis and aphasia. 63-year-old woman with right hemiparesis and aphasia. The first MR examination (left column) was performed 6.5 hours after the onset of symptoms, the second MR examination (middle column) was performed on the second day, and the third MR examination (right column) 1 week after stroke. Top row, Unenhanced T1-weighted images (600/14/1) show progressing low signal mass effect of the infarcted tissue. Hemorrhagic transformation is detected as areas of increased signal intensity on the second day and at 1 week. The gyral pattern of increased signal intensity at 1 week may also represent cortical laminar necrosis.Middle row, Contrast-enhanced T1-weighted images (600/14/1) show intravascular enhancement over the infarct on the first and second days. Moderate cortical and deep enhancement is detected at 1 week.Bottom row, Diffusion-weighted trace images (4000/103/1, in raw image acquisition) show the extent of infarcted tissue as areas of increased signal intensity in the territory of the left middle cerebral artery. Hemorrhagic transformation is detected as a dark area due to the susceptibility effect of breakdown products of hemoglobin. Jari O. Karonen et al. AJNR Am J Neuroradiol 2001;22:103-111 ©2001 by American Society of Neuroradiology