case_images: PMC5925102_01
case_images: Diffusion weighted imaging (DWI) sequence demonstrating restricted diffusion in the right MCA territory of the basal ganglia and temporal lobe.
case_images: CRIPE2018-5378247.001.jpg
case_images: PMC5925102_01_CRIPE2018-5378247.001.jpg
case_images: fig1
case_images: The patient was sent to MRI at that time which was suboptimal but showed diminished caliber of the right internal carotid artery (R ICA) and diminished flow through the right middle cerebral artery (R MCA) (Figure 1).
case_images: 3D reconstruction of the CTA showing stenosis or embolus in the right MCA.
case_images: CRIPE2018-5378247.002.jpg
case_images: PMC5925102_01_CRIPE2018-5378247.002.jpg
case_images: fig2
case_images: He was intubated, CT angiogram was performed at approximately 6 hours after waxing and waning symptoms and showed an R MCA occlusion (Figures 2 and 3), and interventional radiology was contacted at this time.
case_images: 3D reconstruction of the CTA showing poor filling and blood flow in the right MCA.
case_images: CRIPE2018-5378247.003.jpg
case_images: PMC5925102_01_CRIPE2018-5378247.003.jpg
case_images: fig3
case_images: He was intubated, CT angiogram was performed at approximately 6 hours after waxing and waning symptoms and showed an R MCA occlusion (Figures 2 and 3), and interventional radiology was contacted at this time.
case_images: Postthrombectomy, CTA maximum intensity projection (MIP) shows improved blood flow and distal filling of the right MCA.
case_images: CRIPE2018-5378247.004.jpg
case_images: PMC5925102_01_CRIPE2018-5378247.004.jpg
case_images: fig4
case_images: Interventional neuroradiology was able to perform a mechanical thrombectomy of the R ICA and R MCA with successful clot retrieval (Figure 4).