PMC3299077_01
CT scan of head showing intraventricular hemorrhage in right lateral ventricle
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F1
As he was having severe headache with meningismus, a neuroimaging was planned and the noncontrast Computed tomography (CT) scan of head [Figure 1] showed IVH of the right lateral ventricle.
T2 and FLAIR images are displayed
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F2
Magnetic Resonance (MR) imaging with angiography of brain, which was done 5 days after doing CT scan when the patient had developed sudden weakness of right side of the body though it was not associated with vomiting, altered sensorium and hypotension at that time, revealed the features of Moyamoya disease with lacunar infarcts (acute) in right and left posterior paraventricular white matter and centrum semiovale along with IVH [Figures 2 and 3].
MR angiogram of brain reveals occlusion of distal most ends of internal carotid artery and its bifurcation as well as in the proximal portion of anterior cerebral artery and middle cerebral artery on both sides.
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F3
Magnetic Resonance (MR) imaging with angiography of brain, which was done 5 days after doing CT scan when the patient had developed sudden weakness of right side of the body though it was not associated with vomiting, altered sensorium and hypotension at that time, revealed the features of Moyamoya disease with lacunar infarcts (acute) in right and left posterior paraventricular white matter and centrum semiovale along with IVH [Figures 2 and 3].