PMC4719436_01
(A). Left fronto- temporo- parietal large infarction as well right frontal cerebral infarction with cortical sparing in MCA and bilateral ACA territory (FLAIR image). (B-C). Absence of flow along the whole course of the intracranial internal carotid artery on both sides as well as the left vertebral artery with the dominant right vertebral artery, likely secondary to dissection. (MR Angiography).
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fig1
Within 24 hours of the onset of symptoms, magnetic resonance imaging and magnetic resonance angiography (MRI/MRA) showed bilateral anterior cerebral artery territory infarctions and large left middle cerebral artery infarction with cortical sparing (Fig. 1A). Evaluation of the neck and head showed bilateral internal carotid and left vertebral artery dissection (Fig. 1B, C).