Figure 3
From: Pattern of Brain Injury in the Acute Setting of Human Septic Shock
Multiple ischemic strokes in a septic-shock patient who remained comatose after discontinuation of sedation. Two large triangular hypersignals appear on FLAIR images (A) in the territory of the left sylvian artery and associated with DWI (B) and ADC map (C) abnormalities that are consistent with cytotoxic edema. Time of flight (TOF) (D) exhibits occlusion of left middle cerebral artery at M1 and M2 segments. Septic shock had been complicated by an intense disseminated intravascular coagulopathy. The patient died without recovering consciousness.