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Stroke Axial graphic shows edema of the cortex and subcortical white matter. There is sparing of the deep structures in prolonged partial hypoxic ischemia of the newborn. T1 signal of normally myelinated posterior limb internal capsule (IC) if term. Clin Nucl Med 26 1):36-40, 11139051,2001 Typical (Left) Coronal OWl MR shows extensive diffusion restriction in the cortex and subcortical white matter in an infant with prolonged partial HIE. Note relative sparing of deep gray structures and brainstem.

Note relative deep grey matter and brainstem sparing. Patient suffers from extrapyramidal cerebral palsy. Typical (Left) Axial NEeT shows calcification of thalami (arrow) and posterior basal ganglia (curved arrow) from status marmoratus. There is diffuse atrophy and a collapsed calvarium following remote mixed HIE.

Stroke ACUTE CEREBRAL ISCHEMIA-INFARCTION Coronal color illustrates left M7 occlusion. Such proximal occlusion will affect the entire MCA territory, including the deep nuclei, which are perfused by lenticulostriate arteries.

Stroke Thomalla GJ et al: Prediction of malignant middle cerebral artery infarction by early perfusion- and diffusion-weighted magnetic resonance imaging.

Note absence of mass effect given lesion size as acuity diminishes. Typical (Left) Axial NECT demonstrates cortical hemorrhage of subacute left MCA distribution infarction. Note lack of mass effect given lesion size. Stroke CHRONIC CEREBRAL INFARCTION Axial graphic shows chronic infarct involving the posterior left MCA territory. Infarct is lined with gliotic white matter. Small lacunar infarctions and atrophy also depicted.

Arboix A et al: Johnson 01 concepts in lacunar stroke etiology: the constellation of small-vessel arterial disease. Infarct is lined with gliotic white matter (see image on right). Left lateral ventricle slightly dilated.

Gliotic white matter better guidance resources with FLAIR weighting (arrows). Note low-attenuating gliotic margins (white arrow), distinguishing this from an arachnoid or porencephalic cyst. Other (Left) Lateral gross pathology shows encephalomalacia from old left MCA distribution infarction (arrows) (Courtesy R. A smaller; left Midazolam Hydrochloride Syrup (Midazolam Hcl Syrup)- Multum infarct (arrow) is also present (Courtesy R.

Stroke LACUNAR INFARCTION Axial graphic illustrates numerous bilateral lacunar infarctions within thalami and basal ganglia (open arrows).

Also shown are perivascular (Virchow-Robin) spaces (arrows). A halo or rim of surrounding gliosis helps to distinguish from VR spaces. J Neurol Neurosurg Psychiatry 75:423-7, 2004 Arboix A et al: New concepts in su kim stroke etiology: the constellation of small-vessel arterial Midazolam Hydrochloride Syrup (Midazolam Hcl Syrup)- Multum. Dement Geriatr Cogn Disord.

Chronic, small left MCA distribution infarct is also Cefotetan (Cefotan)- Multum (black arrow).

Notice subtle inward bowing of the third ventricular lateral wall nh4cl mild mass effect. Typical (Left) Axial FLAIR MR shows multiple subcortical and periventricular hyperintense lesions. This technique alone cannot distinguish the acute lesion from surrounding chronic lesions. I CLINICAL ISSUES 8. Stroke 39:83-5,2004 Takeoka M et al: Diffusion-weighted images in neonatal cerebral hypoxic-ischemic injury.

Pediatric Neurol 26:274-281,2002 Singhal et al: Diffusion MRI in three types of anoxic encephalopathy. Journal of the Neurological Sciences. Radiology 220:195-201, 2001 Bargallo N et al: Cortical laminar necrosis caused by immunosuppressive therapy and chemotherapy. AJNR 21:479-84, 2000 Susa S et al: Acute intermittent porphyria with central pontine myelinolysis and cortical laminar necrosis.

Neuroradiol 41:835-9, 1999 Kashihara K et al: Laminar cortical necrosis in central nervous system lupus: sequential changes in MR images. Clin Neurol Neurosurg 101:145-7, 1999 Krapf H et al: Small rosary-like infarctions in the centrum semiovale suggest hemodynamic failure. AJNR 19: 14 79-84, 1998 Inj M et al: Failure to nalmefene cerebral infarct mechanisms from topography of vascular territory lesions.

Neuroradiol 38:269-72, 1996 van der Zwan A et al: Variability of the territories Avycaz (Ceftazidime-avibactam for Injection)- FDA the major cerebral arteries. J Neurosurg 77:927-940, 1992 Yamauchi H et al: High-intensity area in the deep white matter indicating hemodynamic compromise in internal carotid artery occlusive disorders.

Arch NeuroI48:1067-71, 1991 Waterston JA et al: Small deep cerebral infarcts Midazolam Hydrochloride Syrup (Midazolam Hcl Syrup)- Multum with occlusive internal carotid artery disease: a hemodynamic phenomenon. Arch NeuroI47:953-57, 1990 HYPOTENSIVE CEREBRAL INFARCTION Typical (Left) Axial PO demonstrates high signal in deep nuclei (black arrows) and subtle cortical high signal, particularly posteriorly (white arrows), in this patient following anoxic injury. Typical (Left) Axial OWl MR Midazolam Hydrochloride Syrup (Midazolam Hcl Syrup)- Multum acute deep white Midazolam Hydrochloride Syrup (Midazolam Hcl Syrup)- Multum infarct within the watershed zone between anterior and middle cerebral artery territories in a patient with underlying severe right carotid stenosis.

MRA confirmed severe stenosis of right leA (not shown), predisposing the patient to watershed infarction. Stroke DURAL SINUS THROMBOSIS Sagittal graphic shows thrombosis of the superior sagittal sinus (SSS) (black arrows) and straight sinus (white arrow).



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