Multiple cerebral acute infarcts (cardiogenic emboli)

Case contributed by Dr Bruno Di Muzio


Severe atrial fibrillation with atrial thrombus on echocardiogram.

Patient Data

Age: 80-year-old
Gender: Male

Multiple small cortical/subcortical infarcts scattered along all the left cerebral hemisphere (left MCA and PCA territories) and also in the right frontal lobe (right MCA). Severe white matter changes consistent with chronic small vessel ischemia. 

Case Discussion

Given the multiplicity of small infarcts involving at least three different vascular territories in both cerebral hemisphere and the known history of a cardiac source of emboli, this case can be interpreted as a cardiogenic emboli shower causing multiple brain infarcts. 

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Case information

rID: 45424
Published: 24th May 2016
Last edited: 8th Apr 2017
Inclusion in quiz mode: Included

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