case_images: PMC10602885_01
case_images: PMC10602885_02
case_images: Magnetic resonance imaging (MRI). From left to right: sagittal, diffusion-weighted, fluid-attenuated inversion recovery, T1, and T2 sequences. (A) MRI showed no significant abnormalities during headache attacks with hemiparesis. (B) MRI showed no significant abnormalities at 6 months after patent foramen ovale closure. (C) Computed tomography angiography revealed left vertebral artery hypoplasia.
case_images: fneur-14-1267100-g001.jpg
case_images: PMC10602885_02_fneur-14-1267100-g001.jpg
case_images: fig1
case_images: A brain magnetic resonance imaging (MRI) scan during headache attacks with hemiparesis (Figure 1A) revealed no significant abnormalities. Computed tomography angiography revealed left vertebral artery hypoplasia (Figure 1C). Her brain MRI was also normal (Figure 1B).
case_images: Cardiac Imaging in the Patient (A) Transoesophageal echocardiography showed that the patent foramen ovale was long tunnel-like (white arrow). (B) The delivery sheath passes through the PFO from the right to the left atrium. (C) The traction test of PFO closure was successful. (D) Made occluder successfully released.
case_images: fneur-14-1267100-g002.jpg
case_images: PMC10602885_02_fneur-14-1267100-g002.jpg
case_images: fig2
case_images: Transoesophageal echocardiography showed that her PFO was "long tunnel"-like (Figure 2A), which carried a higher risk of thromboembolic events. After evaluation by the cardiovascular department, she underwent transcatheter PFO closure according to the guidelines and was discharged 2 weeks later (Figures 2B-D).
case_images: Changes in prodromal symptoms, aura, headache severity, hemiparesis, and accompanying symptoms from 6 years old to the 3 years follow-up after patent foramen ovale closure.
case_images: fneur-14-1267100-g003.jpg
case_images: PMC10602885_02_fneur-14-1267100-g003.jpg
case_images: fig3
case_images: Figure 3 shows the changes in prodromal symptoms, aura, headache severity, hemiparesis, and accompanying symptoms from the age of 6 years to the 3 years follow-up after PFO closure.