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case_images: T2 sequence of cerebral MRI. (a-f) Multiple lacunar infarcts in cerebral cortex, subcortex and cerebellum.
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case_images: The head MR Plain scan + DWI showed multiple acute lacunar infarctions (Figures 1-3).
case_images: T2 Flair sequence of cerebral MRI. (a-f) Multiple lacunar infarcts in cerebral cortex, subcortex and cerebellum.
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case_images: The head MR Plain scan + DWI showed multiple acute lacunar infarctions (Figures 1-3).
case_images: DWI sequence of cerebral MRI. (a-f) Multiple lesions of acute lacunar cerebral infarcion in cerebral cortex, subcortex and cerebellum.
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case_images: The head MR Plain scan + DWI showed multiple acute lacunar infarctions (Figures 1-3).
case_images: Cerebral MRA. (a-c) Cranial MRA suggests right internal carotid artery stenosis.
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case_images: The right vertebral artery was more delicate compared with the contralateral (due to developmental considerations), and its initial area was less developed; these analyses were considered in combination with the results of other examinations (Figure 4).
case_images: Abdominal enhanced CT. (a and b) Multiple cancer metastases in the liver and spleen. (c) Space occupying lesion of the pancreatic tail and the metastases in the liver. (d) Abnormal intensification in the right kidney.
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case_images: An infarct? It was recommended to perform additional tests to check for double renal cysts and Coronary arteriosclerosis (Figure 5). A re-examination of D-dimer results on May 18, 2022 showed 7.04 mg/L.
case_images: D-dimer level changes. The patient was admitted to the hospital on May 12, 2022 to check that the D-dimer level was higher than the normal level, and the patient was given low-molecular-weight heparin anticoagulation therapy on May 13, 2022. The D-dimer level was increased on May 15, 2022 and decreased on May 18, 2022. In the initial stage of low molecular weight heparin treatment, the level of D-dimer increased in the aggravated stage, and the level of D-dimer began to decline after low molecular weight heparin treatment for a period of time.
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case_images: Based on the changing trend of D-dimer in patients (Figure 6), the disease was considered to be in the aggravated stage in the early stage of heparin treatment, and the levels of D-dimer increased.