2006 Volume 28 Issue 2 Pages 324-328
An 88-year-old woman was admitted to our hospital with left hemiparesis. A recent infarction was detected in the right middle cerebral artery. She was diagnosed as having a cardiogenic cerebral embolism with atrial fibrillation on electrocardiography. Two months later she was again admitted to our hospital, this time for tetraplegia and consciousness disturbances. Three-dimensional computed tomographic angiography failed to show the basilar artery. After admission, no symptoms suggestive of recurrent cerebral infarction were observed. Follow-up computed tomography revealed bilateral infarction over the entire cerebral hemisphere. Areas of the bilateral cerebral hemisphere lesions were thought to be ischemic at the time of her second admission to the hospital.