Abstract

AbstractA 67‐year‐old man was admitted to our hospital for gait disturbance due to muscle weakness of the right lower limb lasting for 2 months. Brain MRI demonstrated multiple small cerebral white matter lesions showing a subacute infarct pattern (approximately 10–21 days after ischemic stroke onset), characterized by both hyperintensities on diffusion‐weighted images and intermediate apparent diffusion coefficient (ADC) values. The ADC values of the lesions remained almost unchanged 4 months after onset and decreased in some lesions 8 months after onset. Random skin biopsy established a diagnosis of intravascular lymphoma (IVL). Brain lesions showing a persistent subacute infarct pattern on MRI may be an early feature of brain IVL.

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