American Journal of Neuroradiology 27:67-69, January 2006
© 2006 American Society of Neuroradiology
CASE REPORT
BRAIN
Acute and Chronic Brain Infarcts on MR Imaging in a 20-Year-Old Woman with Acute Posterior Multifocal Placoid Pigment Epitheliopathy
a From the University of Miami School of Medicine, Aventura, Fla
b Neuroskeletal Imaging Institutes Winter Park, Fla
c NeuroCare Institute of Central Florida, Winter Park, Fla
Address correspondence to: Alejandro N. Bugnone, MD, University of Miami School of Medicine, 19101 Mystic Pointe Drive, #1808, Aventura, FL 33180
SUMMARY: A 20-year-old woman recently diagnosed with acute posterior multifocal placoid pigment epitheliopathy developed headaches, weakness, and paresthesias. MR imaging of the brain revealed an acute infarct (demonstrated by diffusion-weighted images) in the head of the right caudate nucleus, a chronic infarct with encephalomalacia in the body of the corpus callosum, and multiple foci of abnormal signal intensity in the white matter of the centrum semiovale.