PMC5098172_01
MRI images of brain. Diffusion-weighted imaging (DWI) 5 h after symptom onset showing multiple small hyperintensities in both hemispheres (open black arrows) (A,B), and fluid-attenuated inversion recovery (FLAIR) showed no lesions (C). Four days after onset, the multiple hyperintensities in DWI are better demarcated (closed black arrowheads) (D,E), and FLAIR is showing multiple hyperintensities consistent with small areas of brain injury (open white arrows) (F).
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F1
These were located in both hemispheres and preferentially in the frontal lobes (Figures 1A-C). Brain MRI was performed on day 4 and showed fluid-attenuated inversion recovery (FLAIR) hyperintensities in both cerebral hemispheres (Figures 1D-F).
Heart ultrasound showing the misplacement of a central venous access device (white arrow) via the interatrial septum, the left atrium (LA), and the mitral valve up to left ventricle (LV) during echo bubble test.
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F2
We performed heart ultrasound 20 h from symptom onset and detected a dislocation of the indwelling central venous catheter tip, which had shifted through the interatrial septum to the left atrium, and via the mitral valve to the left ventricle (Figure 2).