PMC6262945_01
Normal non-contrast head CT during initial work up upon arrival to the emergency room
SNI-9-230-g001.jpg
PMC6262945_01_SNI-9-230-g001.jpg
F1
Code stroke was activated at the same time as a computer tomography (CT) head was obtained [Figure 1].
Diffusion weighted image 48 h after admission demonstrating a bilateral thalamic (left) and midbrain (right) infarction
SNI-9-230-g002.jpg
PMC6262945_01_SNI-9-230-g002.jpg
F2
At 24 hours after admission, an MRI was obtained which showed bilateral thalamic and midbrain infarction [Figure 2].
Follow-up CTA demonstrating patency of the basilar artery, the right-sided dominance of the vertebral artery, and patency of both posterior cerebral arteries
SNI-9-230-g003.jpg
PMC6262945_01_SNI-9-230-g003.jpg
F3
This showed patency of all intra and extra cranial vasculature without evidence of stenosis [Figure 3].
AP CXR status post pacemaker placement
SNI-9-230-g004.jpg
PMC6262945_01_SNI-9-230-g004.jpg
F4
He stayed in the hospital for 10 days, and later underwent cardiac pacer placement [Figure 4] before he was discharged to home.