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Updated: May 31, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Small-vessel disease in the basal ganglia: lacune or microbleed?
Tomohisa Nezu1, Shoji Arihiro, Kazunori Toyoda
1Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan. dr.tom.n@gmail.com
Abstract:
Brain microbleeds (BMBs) can be detected on the gradient-echo T2*-weighted magnetic resonance imaging and are considered a risk factor for cognitive impairment and intracerebral hemorrhage. Detailed radiologic findings on the etiology of BMBs and their changes remain scarce. We present a case of subacute change in a BMB in the basal ganglia that mimicked a subacute lacunar infarct. Our findings underscore the need for physicians to be careful to not erroneously diagnose BMBs as lacunar infarctions and prescribe unnecessary antiplatelet medication.
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