J Neurocrit Care.  2022 Dec;15(2):150-152. 10.18700/jnc.220082.

Massive microbleeds in posterior circulation territory in an immunocompromised patient with sepsis

• Sung W
• Kim YS
• Kim HJ

• KMID: 2538776
• DOI: http://doi.org/10.18700/jnc.220082

Figure

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  Fig. 1. Computed tomography (CT) and magnetic resonance imaging (MRI) scans of the brain. (A) CT images demonstrate edematous brainstem without overt hemorrhage. (B, C) T2*-weighted gradient echo MRI images present extensive small foci of hypointensity, compatible with microbleeds, diffusely dispersed throughout the brainstem and cerebellum. T2-weighted fluid-attenuated inversion recovery images reveal edematous change around lesions. (D) Sagittal T2-weighted images indicate swollen brainstem, resulting in hydrocephalus.

Reference

1. Fanou EM, Coutinho JM, Shannon P, Kiehl TR, Levi MM, Wilcox ME, et al. Critical illness-associated cerebral microbleeds. Stroke. 2017; 48:1085–7.

2. Kargiotis O, Safouris A, Magoufis G, Papageorgiou E, Fili M, Psychogios K, et al. Cerebral microbleeds: incidence, imaging characteristics, common and uncommon causes. J Neurosonology Neuroimaging. 2018; 10:80–94.

3. Thurnher MM, Boban J, Röggla M, Staudinger T. Distinct pattern of microsusceptibility changes on brain magnetic resonance imaging (MRI) in critically ill patients on mechanical ventilation/oxygenation. Neuroradiology. 2021; 63:1651–8.