PMC5892245_01
Head MRI performed about 24 hours after onset showed right occipital lobe, thalamus, cerebral crus, and midbrain fresh infarction (a, b). MRA showed right P2 (arrow head) and left SCA (superior cerebellar artery) occlusion (c).
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fig1
His head MRI-DWI showed a scattered fresh infarction including the right occipital lobe, cerebral crus, and thalamus, and MRA showed occlusion of the P2 area of the right PCA and left SCA (Figure 1).
Head MRI performed after aggravation of neurological symptoms showed enlargement of infarction (a, b). MRA showed extension of occlusion (arrow head) to the P1 (c).
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fig2
MRI was performed and showed enlargement of the lesion in the thalamus and additional cuneate fresh stroke on the right paramedian portion of the midbrain and small spotty fresh stroke on the left paramedian portion. MRA showed the extension of the occlusion of the PCA to the P1 portion (Figure 2).
Findings of ptosis and oculomotor palsy one month after onset.
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fig3
Finally, disturbance of upward and downward abduction remained on the left side and severe oculomotor palsy also remained in the right side (Figure 3).