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Rehabilitation Practice and Science

Translated Title

同側大腦半球之急性多發性梗塞：病例報告

Abstract

Acute ischemic stroke is well known to be a single event. However, multiple simultaneous acute strokes involving more than one vascular territory are less studied. Large-artery disease of corresponding vessels and cardioembolism are thought to be the most important risk factors for multiple simultaneous infarctions. Diffusion-weighted imaging (DWI), which successfully discriminats acute from chronic infarct, is particularly useful in patients with multiple infarcts in more than one territory. The most common combinations of simultaneous multiple infarction in one cerebral hemisphere involve the territories of the anterior superficial middle cerebral artery (MCA) plus the posterior superficial MCA, and the territories of the anterior superficial MCA plus the posterior watershed. We describe a 57-year-old man who presented with simultaneous large middle cerebral artery territory infarction and posterior cerebral artery territory infarction confirmed by DWI. A cardioembolic source was highly suspected because of the presence of multiple lesions, the patient's history of hypertrophic cardiomyopathy and a fibroelastoma over aortic valve noted via transesophageal echocardiography. DWI reveals the accurate site of lesion earlier than traditional images, which indicates a better correlation between symptoms and etiology of stroke, and considerable improvement in patient care.

Language

English

First Page

91

Last Page

95

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