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Infraputaminal'Lacunes':Clinical and Pathological Correlations
Stroke 26:1598-1602, Pullicino,P.M.,et al, 1995
See this aricle in Pubmed

Article Abstract
Three of 100 serial MR scans had IPLs(3%).Nine other patients with in vivo (7)or postmortem(2)MR scans had IPLs.No neurological symptoms could be related to the IPLs.There were no differences in age,hypertension, diabetes,or presence of cortical enlarged perivascular spaces(EPVSs) between patients with and without IPLs.Unlike infarcts,IPLs were isointense with the cerebrospinal fluid on proton density MR sequences. Histological correlation of three MR scans showed IPLs to be a single large EPVs,situated lateral to the anterior commissure.IPLs were located at a point where multiple lenticulostriates turn sharply dorsally.An IPL was the probable cause of the apparent infarct in six publications from peer-reviewed literature that linked different clinical signs to putaminal infarct.IPLs are EPVSs that can be differentiated from infarcts on proton density MR images.
 
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lacunar infarction
lacunar infarction,differential diagnosis of
misdiagnosis
MRI
MRI,abnormal
symmetric brain lesions
Virchow-Robin spaces,dilated

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