Article Figures & Data
Figures
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DWI infarcts involving bilateral anterior and posterior circulation (3 territory) with TS in 9 study group patients.
Tables
Etiologies of 3 territory diffusion-weighted lesions
No. Clinical/MR Imaging, DWI, Enhancement Features Suspected etiology (n = 29) Trauma 1 History of trauma, imaging-associated sequelae of trauma, subarachnoid hemorrhage, shear pattern Demyelinating 1 Age, history of multiple sclerosis, periventricular/corpus callosum predilection Hypoxic-ischemic 5 Hypotension, deep nuclei and cortical ribbon involvement Metastasis 3 History of malignancy and/or ring or enhancing lesion Seizure 1 Seizures, deep nuclei and/or cortical ribbon enhancement HIV-related (n = 2) Toxoplasmosis 1 HIV, periventricular, ring, enhancing, target sign, rarely shows restricted diffusion Fungal abscess 1 HIV, ring, enhancing, numerous restricted-diffusion lesions Cerebral emboli (n = 10) Endocarditis 4 Fever, leukocytosis, murmur, ring, enhancing Air 1 Followed esophagogastroduodenoscopy Fat 1 Followed long bone fracture Atrial fibrillation 2 No source other than atrial fibrillation found Aortic atheroma 1 Significant arch atheroma noted Aortic dissection 1 Patient had concomitant aortic dissection Postoperative (n = 6) Aneurysm coiling 1 Symptoms developed postoperatively Cardiac surgery 4 Symptoms developed postoperatively Aortic aneurysm repair 1 Symptoms developed postoperatively Not suspected (n = 10) Malignancy-related 9 Lung (n = 4), colon (n = 2), renal (n = 1), pancreas (n = 1), bladder (n = 1) Intravascular lymphoma 1 Proven by brain biopsy Indeterminate (n = 2) Incomplete history 1 Lost to follow-up Multiple etiologies 1 Possible fat emboli vs Trousseau syndrome
Three-Territory DWI Acute Infarcts: Diagnostic Value in Cancer-Associated Hypercoagulation Stroke (Trousseau Syndrome)
