PMC3024947_01
Brain MRI with Gd-DTPA was performed and showed the presence of an hyperacute ischemic lesion of about 2 cm of diameter, in the left lenticular nucleus extended to the internal capsule 1A), 1B), 1C) in DWI and 1D) perfusion weighted sequences.
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F1
A brain MRI with Gd-DTPA was performed and documented the presence of a hyperacute ischemic lesion of about 2 cm in diameter, in the left lenticular nucleus extending to the internal capsule (Figure 1).
MRI spectroscopy (2A), angio-MRI sequences (2B, 2C), and T1 weighted MRI with Gd-DTPA (2D). showed anterior, posterior circulation and circle of Willis vessel's perviety
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F2
Since a suspicion of acute arterial dissection existed, the investigation was completed with angiography sequences showing anterior and posterior circulation and perviety of the vessels of the circle of Willis (Figure 2).
Brain MRI with Gd-DTPA performed 45 days after the first one showed a reduction of the left lenticular nucleus lesion.
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F3
After 45 days all symptoms had disappeared and a brain MRI with GD-DTPA only showed the sequelae of the left capsular lenticular ischemia (Figure 3).