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Multiple acute cerebral infarcts (MACIs) detected by diffu sion weighted ima ging (DWI) may indicate an unstable source of thromboembolism. The authors studi ed 119 consecutive acute ischemic stroke patients within 24 hours of onset with DWI. MACIs were present in 20 patients (16.8%). During the follow up period, t here were 15 recurrent strokes, 3 acute coronary syndromes, and 5 deaths. MACI w as the only significant independent predictor for vascular events and death (odd ratio [OR]= 4.34; p = 0.001) and stroke recurrence (OR = 5.93; p = 0.001).
Multiple acute cerebral infarcts (MACIs) detected by diffu sion weighted ima ging (DWI) may indicate an unstable source of thromboembolism. The authors studi ed 119 consecutive acute ischemic stroke patients within 24 hours of onset with DWI. MACIs were present in 20 patients ( 16.8%). During the follow up period, t here were 15 recurrent strokes, 3 acute coronary syndromes, and 5 deaths. MACI w as the only significant independent predictor for vascular events and death (odd ratio [OR] = 4.34; p = 0.001) and stroke recurrence (OR = 5.93; p = 0.001).