PMC4269200_01
Axial diffusion-weighted echo-planar MR image (apparent diffusion coefficient shows an area of restricted diffusion in right occipital lobe).
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fig1
Patient's diffusion MRI of brain was consistent with acute ischemia in right occipital lobe (Figure 1).
CT scan with contrast enhancement disclosed dissection in the brachiocephalic trunk (arrowhead).
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fig2
Thereafter thorax CT angiography has been applied, and in the aortic root intimal flap has been detected which is consistent with aortic dissection which has been expanding from aortic arch to proximal bilateral carotid arteries (Figure 2).