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VEBINARS JOURNAL REVIEW (VBJR)

Review of articles of interest to clinical neuroimaging focusing on clinical relevance and imaging

Summarising teaching points in simple terms Focus is to encourage reading literature on neuroimaging

VBJR-Journal reviews

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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