As our patient had spontaneous hemorrhagic transformation in a large embolic infarct
(both of which are associated with increased risk of further hemorrhage), we opted not to initiate full anticoagulation.
In our patient, MR imaging served as a confirmatory test following the clinical diagnosis of ION and aided in the exclusion of other etiologies, such as multiple sclerosis or embolic infarcts
Magnetic resonance imaging of the brain showed several small embolic infarcts
of the cerebrum and cerebellum.