AJDRAJNR - American Journal of Neuroradiology

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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.N. Bugnonea, F. Hartkerb, M. Shapirob, H.S. Pinelessc and G. Velez

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.