PMC5960504_01
Axial T2-weighted MRI brain image showing infarct in right gangliocapsular region.
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fig1
MRI brain was done which showed infarct in right gangliocapsular region (Figure 1).
Vertebral angiogram image showing near total to complete occlusion of right M1 (MCA) just distal to origin with distal M1 reforming via perforators.
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fig2
We further evaluated the patient with cerebral angiography which showed occlusion of the right middle cerebral artery (M1) just distal to origin with the appearance of moyamoya collaterals (Figures 2, 3, and 4).
Cerebral angiogram (oblique view) image showing typical "puff of smoke" collaterals with right MCA stenosis (black arrow).
CRINM2018-7806873.003.jpg
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fig3
We further evaluated the patient with cerebral angiography which showed occlusion of the right middle cerebral artery (M1) just distal to origin with the appearance of moyamoya collaterals (Figures 2, 3, and 4).
Cerebral angiogram image showing typical "puff of smoke" moyamoya collaterals (black arrow).
CRINM2018-7806873.004.jpg
PMC5960504_01_CRINM2018-7806873.004.jpg
fig4
We further evaluated the patient with cerebral angiography which showed occlusion of the right middle cerebral artery (M1) just distal to origin with the appearance of moyamoya collaterals (Figures 2, 3, and 4).