case_images: PMC11648763_01
case_images: Shows the patient with bilateral abduction of the eyes.
case_images: gr1.jpg
case_images: PMC11648763_01_gr1.jpg
case_images: fig0001
case_images: A crucial discovery was in his eye movements: when asked to look to the left or right, the patient demonstrated bilateral weakness by turning both eyes inward toward the nose with abducting nystagmus as shown in Fig. 1, which refers to involuntary, jerky eye movements on the opposite side.
case_images: Shows the left paramedian midbrain's hyperintense area on diffusion-weighted imaging on MRI axial sections, indicating an acute infarct.
case_images: gr2.jpg
case_images: PMC11648763_01_gr2.jpg
case_images: fig0002
case_images: T2W/FLAIR hyperintensities noted in bilateral periventricular and subcortical white matter are suggestive of chronic small vessel ischemic changes. (FAZEKA'S GRADE III). The MRI imaging sections are shown in Fig. 2, Fig. 3, Fig. 4, Fig. 5
case_images: Shows the left paramedian midbrain's low intensity on the ADC view.
case_images: gr4.jpg
case_images: PMC11648763_01_gr4.jpg
case_images: fig0004
case_images: T2W/FLAIR hyperintensities noted in bilateral periventricular and subcortical white matter are suggestive of chronic small vessel ischemic changes. (FAZEKA'S GRADE III). The MRI imaging sections are shown in Fig. 2, Fig. 3, Fig. 4, Fig. 5
case_images: Showing the MR angiography of intracranial vessels, reveals the A1 segment of the left A.C.O.M. is hypoplastic and has a normal course.
case_images: gr6.jpg
case_images: PMC11648763_01_gr6.jpg
case_images: fig0006