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Assessing Cortical Cerebral Microinfarcts on High Resolution MR Images
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Disseminated Microinfarctions with Cerebral Microbleeds

Mark Fisher1, Kevin Kapur1, Sylvia Soo2

  • 1Department of Neurology.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|February 4, 2018
PubMed

Insights

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.
Keywords:
MRIMicroinfarctionmicrobleedsmicrovascular

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