07 September 2026
: Case report 
Simultaneous Acute Multiple Ischemic Strokes of the Left Cerebral Hemisphere and Signs of Acute Anterior STEMI: A Case Report
Rare coexistence of disease or pathology
Xiaotong Wei ABCDEF 1, Zhonghua Liu ACDG 1*DOI: 10.12659/AJCR.952855
Am J Case Rep 2026; 27:e952855
Figure 3 Computed tomography perfusion imaging demonstrating extensive regions of prolonged mean transit time and time to maximum (Tmax) in the left cerebral hemisphere. Corresponding regions showed decreased cerebral blood volume (CBV) and cerebral blood flow (CBF). The volume of CBF < 30% was approximately 35 mL, volume of Tmax > 6 seconds was approximately 319 mL, mismatch volume was approximately 284 mL, and mismatch ratio was 9.1. The hypoperfusion intensity ratio (Tmax > 10 seconds/Tmax > 6 seconds) was 0.6, and the CBV index (relative CBV within the Tmax > 6 seconds region) was 0.8.