case_images: PMC4313703_01
case_images: Magnetic resonance imaging brain axial diffusion weighted images demonstrating areas of restricted diffusion in the R occipital lobe (A) and left superior frontal lobe (B).
case_images: fneur-06-00009-g001.jpg
case_images: PMC4313703_01_fneur-06-00009-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) demonstrated acute infarcts in both cerebral hemispheres (Figure 1) and no evidence of hemorrhage.
case_images: Transthoracic echocardiogram, apical 2 chamber view with contrast demonstrating a left ventricular apical thrombus (2.4 cm x 1.4 cm) (top arrow) and a second thrombus (1.6 cm x 2.2 cm) (bottom arrow) adherent to the interventricular septum.
case_images: fneur-06-00009-g002.jpg
case_images: PMC4313703_01_fneur-06-00009-g002.jpg
case_images: F2
case_images: An apical LVT (2.4 cm x 1.4 cm) and a second thrombus adjacent to the interventricular septum (1.6 cm x 2.2 cm) were confirmed on transthoracic echocardiogram (TTE) (Figure 2) within 12 h of presentation and 10 h of completion of IV rtPA infusion.