Update: We are now collecting Disclosures from all users who edit content. You will be prompted to update these when you next edit content or you can complete your disclosures at any time in your user profile. This has been reflected in an updated terms-of-use.

String of pearls sign (watershed infarction)

Last revised by Assoc Prof Frank Gaillard on 08 Mar 2021

The string of pearls sign is seen on diffusion-weighted imaging of T2/FLAIR as a series of rounded areas of signal abnormality adjacent to, but separate from, the lateral ventricle. This represents a deep border zone infarct between the penetrating cortical arteries and ascending perforating arteries 1

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.