case_images: PMC10726582_01
case_images: Nine-gaze-picture at presentation. As seen in the three top pictures there is an elevation deficit of the right eye.
case_images: OC-13-20-g-001.jpg
case_images: PMC10726582_01_OC-13-20-g-001.jpg
case_images: F1
case_images: Examination of the eye movements showed a unilateral elevation deficit of the right eye (Figure 1 (Fig. 1)).
case_images: Fluoresceine angiography at presentation, a to e show the images of the right eye, f shows the image of the left eye. a: 44 seconds after fluorescein injection the fluorescein becomes visible in the retinal vessels, the choroidal filling is still incomplete. b: 52 seconds after injection. c: 1 minute 21 seconds after injection. d: 3 minutes 37 seconds after injection, there is still no filling of the midperipheral retinal vessels as seen in the inferior and temporal vessels. e: 5 minutes 37 seconds after injection, still an incomplete peripheral filling (not seen in the picture). f: 1 minute 9 seconds after injection, the left eye showed a normal filling of the retinal and choroidal vessels.
case_images: OC-13-20-g-002.jpg
case_images: PMC10726582_01_OC-13-20-g-002.jpg
case_images: F2
case_images: Eight minutes after injection there was still an incomplete filling of the peripheral retinal vessels (Figure 2 (Fig. 2)).
case_images: CT angiography images at presentation: a long segmentary occlusion of the right common carotid artery. The blue arrow shows the right CCA, the red arrow shows the left CCA. In picture a, b and c there is a complete occlusion of the right CCA. Picture d shows a partial filling of the right CCA, just before the bifurcation. Picture e shows a complete filling of the right CCA/ICA at the level of the bifurcation.
case_images: OC-13-20-g-003.jpg
case_images: PMC10726582_01_OC-13-20-g-003.jpg
case_images: F3
case_images: Computed tomography (CT) angiography of head and neck vessels revealed a proximal occlusion of the right common carotid artery (ACC), with distal filling through collaterals and a narrow internal carotid artery (ACI) (Figure 3 (Fig. 3)), most likely because of low flow.