PMC3738323_01
Representative MRI from the patient on admission shows a single voxel of hyperintensity on DWI in dorsal paramedian medulla, equivocal hypointensity of the equivalent apparent diffusion co-efficient (ADC) voxel and subtle hyperintensity of the medial medulla at the same time point. In the second week, a repeat MRI shows unequivocal T2 hyperintensity within a paramedian medullary distribution
10.1258_cvd.2012.012006-fig1.jpg
PMC3738323_01_10.1258_cvd.2012.012006-fig1.jpg
CVD-12-006F1
A repeat MRI of the brain on day 11 disclosed a T2 hyperintensity within the medial medulla that conformed to the arterial territory of the medial medullary artery (and adjacent perforators), predominantly right sided, but with some left-sided involvement (Figure 1).