VEBINARS JOURNAL REVIEW (VBJR)

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