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A secondary signal change of the substantia nigra after ipsilateral striatal infarction: a pitfall of diagnositic imaging of acute stroke Makoto Nakajima, M.D., Ph.D.1) and Teruyuki Hirano, M.D., Ph.D.2) 1) Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital 2) Department of Neurology, Faculty of Life Sciences, Kumamoto University Some patients with hemilateral striatal infarction demonstrate increased intensity of ipsilateral substantia nigra on diffusion-weighted imaging, which is known as a pitfall of diagnostic imaging of acute stroke. Clinicians should be cautious of misdiagnosis and should avoid unnecessary investigation or treatment in such patients.

A secondary signal change of the substantia nigra after ipsilateral striatal infarction:a pitfall of diagnositic imaging of acute stroke