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Comparisons of high-resolution intracranial vessel wall MRI findings in different types of middle cerebral artery territory infarction

So Yeon Won¹, Jihoon Cha¹, Hyun Seok Choi¹, Young Dae Kim², Hyo Suk Nam², Ji Hoe Heo², and Seung-Koo Lee¹
¹Radiology, Severance Hospital, Seoul, Korea, Republic of, ²Neurology, Severance Hospital, Seoul, Korea, Republic of

In patients with BOD, the plaque margin was closer to perforator orifice with less stenosis and enhancement than patients with artery to artery embolism.

Figure 2. Representative case with BOD. A. Longitudinal plane of MCA with fusion image (PD+T1CE). B. Cross-sectional image where perforator arouses. Perforator (red arrow), plaque (white arrow) C. Plaque distribution was expressed as an angle. Perforator was located at margin of the plaque.

Figure 1.Diagram of patient selection.