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Acute Simultaneous Multiple Infarctions In One Cerebral Hemisphere: A Casereport, Ting-I Han, Mu-Jung Kao, Der-Yang Chou, Pey-Yu Yang

Rehabilitation Practice and Science

Acute ischemic stroke is well known to be a single event. However, multiple simultaneous acute strokes involving more than one vascular territory are less studied. Large-artery disease of corresponding vessels and cardioembolism are thought to be the most important risk factors for multiple simultaneous infarctions. Diffusion-weighted imaging (DWI), which successfully discriminats acute from chronic infarct, is particularly useful in patients with multiple infarcts in more than one territory. The most common combinations of simultaneous multiple infarction in one cerebral hemisphere involve the territories of the anterior superficial middle cerebral artery (MCA) plus the posterior superficial MCA, and the territories of …