Figure 4.

High resolution 8-T gradient gadolinium-enhanced echography slices (in-plane pixel size 195 μm). a–f | Vascular supply to the lacunar infarctions and vascular patterns in the infarcted region. Black arrows, infarct sites. Red arrows, small vessel ending within low signal intensity foci in the lacunar infarction. Blue arrows, branches of the cerebral artery supplying infarcted areas. White arrow, larger area of low signal intensity suggestive of iron deposits that extends beyond infarction into the basal ganglia. Iron deposition in brain parenchyma may represent blood–brain-barrier breakdown associated with microvascular disease and microinfarcts. g | Clinical T2-weighted image of the infarcted area (indicated by black arrows), obtained with 1.5-T MRI. Modified with permission from Novak et al.53