id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-255240-ltatgq3e	Kesserwani, Hassan	Cerebral Microbleeds - To Treat or Not to Treat, That Is the Question: A Case Report With a Note on Its Radiologic Deconstruction and Therapeutic Nuances	2020-09-20		.txt	text/plain	3410	193	52	We present the case of an 86-year-old woman who has a vascular dementia, Binswanger's syndrome, and coronary artery disease, who presented with more than five CMBs. We present this case in order to highlight the dilemma of anti-platelet therapy in this group of patients and we demonstrate the cardinal radiologic features of CMBs. We then segue into the pathologic correlates of CMBs and associated risk factors. If the magnetic resonance imaging (MRI) scanner software is endowed with a left-handed reference frame such as Siemens, the CMBs appear hyperintense on the phase map. Hence one faces a therapeutic dilemma; with such extensive cerebral white matter disease and stable coronary artery disease, is anti-platelet therapy warranted in the presence of more than five CMBs? [ In the study by Lau et al., in 1811 patients who were prescribed anti-platelet therapy, the five-year risk of recurrent ischemic stroke and hemorrhagic stroke both increased with the number of CMBs [6] .	./cache/cord-255240-ltatgq3e.txt	./txt/cord-255240-ltatgq3e.txt