PMC9120742_01
fundus-copy of the left eye showing white retinal edema of the posterior pole with a discreet red reflection of the macula
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F1
Funduscopy of the left eye objectives white retinal edema of the posterior pole with a reddish reflection of the macula (Figure 1).
fluorescein angiography showing absence of flow in the peri-macular arterioles and enlargement of the central avascular zone related to ischemic edema in the left eye
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F2
Diagnostic assessment: fluorescein angiography revealed a slow and progressive filling of the arteries with interruption of the flow at the level of the peri-macular arterioles and widening of the central avascular zone (Figure 2).
macular optic coherence tomography of the left eye confirming ischemic edema with hyper-reflectivity predominant on the inner layers of the retina
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F3
Tomography (macular OCT) revealed ischemic edema in the inner layers of the retina (Figure 3). The diagnosis of CRAO was retained.
cerebral MRI revealing an acute ischemic stroke constituted on the left: cortico-subcortical area in the hyper signal
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F4
Because of neurological symptoms, a magnetic resonance angiography was realized revealing an acute ischemic stroke on the junctional territories of the anterior, posterior, and left middle cerebral artery, and occlusion of the common carotid artery, the left internal and external carotid artery (Figure 4, Figure 5).
cerebral MRI: 3D TOF MRA sequence: A) absence of flow at the level of the left internal carotid artery at the level of its intra-cavernous; B) intra petrous portion, 3D reconstruction; C) absence of flow at the level of the left common carotid artery (ACC) and internal carotid artery (ACI)
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F5
Because of neurological symptoms, a magnetic resonance angiography was realized revealing an acute ischemic stroke on the junctional territories of the anterior, posterior, and left middle cerebral artery, and occlusion of the common carotid artery, the left internal and external carotid artery (Figure 4, Figure 5).
echo-doppler of the supra-aortic vessels (A, B): endoluminal material at the level of the left common carotid artery extended to the carotid bulb with no color doppler plug; C) absence of color doppler plug in the left ophthalmic artery
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F6
Echo-doppler of the supra-aortic vessels showed thrombosis of the left common carotid artery extending to the ipsilateral internal carotid artery (Figure 6).