VBJR-02 Imaging of Vulnerable Carotid Plaque
Elderly male with recurrent stroke (right sided weakness)
Serial axial DWI images 4 days apart (lower set of images after worsening of symptoms)
What could be the possible causative mechanisms?
Here we see 2 different patients with recurrent CVA
- Unstable plaques and
- Luminal stenosis are possible etiologies for recurrent strokes
Acute intraplaque hemorrhage in carotid plaques have strong association with ipsilateral stroke (https://vebinars.in/neuroimaging/f/vbjr01-journal-review)
Characteristics of Intraplaque hemorrhage on various modalities:
USG: Sonolucent
CT: Average 100 HU
MRI: T1 hyperintense
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