PMC6057308_01
CTA neck coronal MIP planes, (left panel) showing intraluminal thrombus of V4 segment of left vertebral artery (arrow) before cerebral angiogram. Right panel showing patent V4 segment of left vertebral artery (arrow) with resolution of previously seen thrombus.
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fig1
After 4 months, a repeat CTA neck showed progression of left VA stenoses with development of a V4 segment intraluminal thrombus (Figure 1). CTA neck showed no restenosis of the left VA origin and patent V4 segment with resolution of previously seen thrombus (Figure 1).
MRI Cervical spine axial and sagittal planes, (left panel) showing hyperintensity on diffusion weighted sequence, hypointensity on ADC sequence (middle panel), and hyperintensity on T2 sequence (right panel) indicating acute spinal cord infarction (arrows).
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fig2
MRI brain showed acute posterior upper cervical cord infarction, confirmed with a dedicated MRI cervical spine (Figure 2).