case_images: PMC9941041_01
case_images: Cerebral CT showing an ischemic stroke with secondary bleeding in the right cerebellar hemisphere (A-C) (red arrows). In addition, old ischemic lesions can be seen in the area of the left posterior cerebral artery (D) and the left middle cerebral artery (D and F) (red arrows).. CT: computed tomography
case_images: cureus-0015-00000034012-i01.jpg
case_images: PMC9941041_01_cureus-0015-00000034012-i01.jpg
case_images: FIG1
case_images: Cerebral computed tomography (CT) revealed a subacute ischemic stroke with secondary, non-mass bleeding in the right cerebellar hemisphere and multiple old ischemic lesions in other territories (Figure 1).
case_images: MRI of the index patient's brain at the age of 54, with stenosis of the basilar artery and occlusion of the distal internal carotid artery (A and B) (red arrows) and old ischemic lesions in the left posterior cerebral artery and the territories of the left middle cerebral artery (D and E) (red arrows).. MRI: magnetic resonance imaging
case_images: cureus-0015-00000034012-i02.jpg
case_images: PMC9941041_01_cureus-0015-00000034012-i02.jpg
case_images: FIG2
case_images: Cerebral magnetic resonance imaging (MRI) revealed multiple old ischemic lesions in the territories of the left superior cerebellar artery, left posterior cerebral artery, and left middle cerebral artery territory (Figure 2). Magnetic resonance angiography showed left distal internal carotid artery occlusion and basilar artery stenosis (Figure 2).
case_images: Cardiac MRI of the index patient's heart at age 54 showing myocardial thickening and two organized apical thrombi at different modalities and projections (A-D) (red arrows).. MRI: magnetic resonance imaging
case_images: cureus-0015-00000034012-i03.jpg
case_images: PMC9941041_01_cureus-0015-00000034012-i03.jpg
case_images: FIG3
case_images: Cardiac MRI showed organized apical thrombi (Figure 3).