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Updated: Feb 15, 2026
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Assessing Cortical Cerebral Microinfarcts on High Resolution MR Images
Published on: November 20, 2015
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Disseminated Microinfarctions with Cerebral Microbleeds.
Mark Fisher1, Kevin Kapur1, Sylvia Soo2
1Department of Neurology.
Summary
Acute hypotension can trigger disseminated microinfarctions in patients with pre-existing cerebral microbleeds. This case highlights the link between ischemic and hemorrhagic brain microvascular disease during blood pressure changes.
Area of Science:
- Neurology
- Neuroimaging
- Vascular Neurology
Background:
- Disseminated microinfarctions are rare neurological events.
- Cerebral microbleeds indicate underlying microvascular disease.
- Maintaining stable blood pressure is crucial for brain health.
Observation:
- A patient with a history of cerebral microbleeds experienced sudden cognitive decline.
- The decline coincided with a period of acute hypotension.
- Magnetic resonance imaging was used to assess brain changes.
Findings:
- The patient presented with acute disseminated microinfarctions.
- No significant changes were observed in the pre-existing microbleeds.
- The findings suggest a link between hypotension and new ischemic events.
Implications:
- This case underscores the vulnerability of compromised brain microvasculature to blood pressure fluctuations.
- It highlights the interplay between ischemic and hemorrhagic microvascular injuries.
- Understanding this relationship is vital for managing patients with cerebrovascular disease.
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