Fig. 1.

Radiographic Findings. (A) Axial computed tomography (CT) brain without contrast prior to intravenous tissue plasminogen activator (IV tPA) negative for intracranial hemorrhage (ICH). (B) Axial CT brain without contrast after IV tPA showing ICH in the left and right putamen, right caudate head and right temporal lobe. (C) Axial diffusion weighted magnetic resonance imaging showing acute ischemic stroke (AIS) bilaterally. Also, multiple other punctate AIS in the left cerebellum, left frontal lobe and right mesial temporal lobe (not shown).