Four old child presented with sudden unconsciousness since 2 days. MRI revealed multifocal T2/FLAIR hyperintense areas in the right thalamic/occipital region-PCA territory, left perisylvian (MCA territory) and left inferior cerebellar hemisphere showing areas of restricted diffusion on DWI and corresponding ADC maps. These findings likely indicate areas of relatively fresh infarction in multifocal vascular territories. Differentials include-causes like hypercoaguable state, vasculitis etc
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