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A 54-year-old man with IVS4-type Fabry disease had hypertrophic cardiomyopathy, headache, and stroke. Brain MR (A) axial T2 FLAIR image reveals old lacunar infarcts at the bilateral internal capsules (arrow) and increased deep white matter hyperintensities (arrowheads). B, The diameter at the middle segment of the basilar artery (lines) was measured as 3.2 mm on a 3D time-of-flight MR angiogram.
