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Multiple Acute Stroke Syndrome, Marker of Embolic Disease?
Neurol 54:674-678, Baird,A.E.,et al, 2000
See this aricle in Pubmed

Article Abstract
Multiple acute ischemic lesions were present in 10 (17%) of 59 patients. The lesions usually occurred within one major circulation (anterior or posterior), but in two patients (3%), lesions occurred in both cerebral hemispheres or in the anterior and the posterior circulations. The lesions often were small and resulted from presumed multiple emboli or the break-up of an embolus. Two patients had internal carotid artery occlusive disease and four had a cardiac or aortic source. In the o ther four patients the source was not determined. Lesions larger than 1 cm in diameter progressed to infarction, but some smaller lesions were not seen on follow-up T2-weighted imaging. Multiple acute stroke lesions on DWI are common and could be caused by multiple emboli or the breakup of an embolus. In some cases it might become possible to make early inferences concerning the stroke mechanism that could be of use for immediately directing the clinical work-up and treatment of the patient.
 
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carotid artery disease
carotid artery stenosis
cerebral embolism
cerebral embolism,cardiac origin
cerebrovascular accident
cerebrovascular accident,etiology
cerebrovascular accident,multiple
MRI,abnormal
MRI,diffusion weighted
review article

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