case_images: PMC11810617_01
case_images: Doppler echocardiography in parasternal long-axis section showing an alteration in the ejection fraction of the left ventricle.
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case_images: On Doppler echocardiography, the left ventricular ejection fraction (LV EF) was 30% on the Teicholz scale, and left ventricular filling pressures were elevated, with pulmonary artery pressure elevated to 55 mmHg (Figure 1).
case_images: Cerebral tomodensitometry showing hypodensity of the posterior arm of the right internal capsule, diffuse hypodensity of the semi-oval centres and of the periventricular white matter suggestive of an ischaemic stroke constituted in the territory of the right anterior choroid with cortico-subcortical atrophy.
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case_images: Cerebral computed tomography revealed small hypodensity of the posterior arm of the right internal capsule, diffuse hypodensity of the semioval centers, and periventricular white matter suggestive of ischemic stroke in the right anterior choroidal territory with cortico-subcortical atrophy (Figure 2).
case_images: Cerebral CT scan showing a large area of hypodensity in the right parieto-temporooccipital and right capsulo-lenticulo-thalamic regions of 24 Hounsfield units, responsible for a mass effect on the homolateral lateral ventricle, which is partially collapsed, and a deviation of the straight line of 4 mm (red arrow).
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case_images: A new CT scan of the brain revealed a large area of hypodensity in the left parieto-temporooccipital and right capsulo-lenticulo-thalamic regions of 24 Hounsfield units, responsible for a mass effect on the homolateral lateral ventricle, which was partially collapsed, and a deviation of the straight line of 4 mm (Figure 3).
case_images: Doppler ultrasound of the supra-aortic trunks (TSA) showing total thrombotic occlusion of the bulbar and post-bulbar right internal carotid artery (red arrow).
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case_images: Doppler ultrasound of the supra-aortic trunks (SAT) showed a total thrombotic occlusion of the right internal bulbar and post-bulbar carotid arteries (Figure 4).
case_images: Angioscan of SAT showing right carotid atherosclerosis with an occlusive thrombus beginning at the bulb, extending to the internal carotid artery and into the supracavernous portion, without any associated vascular malformation.
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case_images: Angioscan of the SAT showed right carotid atherosclerosis with an occlusive thrombus beginning at the bulb, extending to the ICA and the supra-cavernous portion, with no associated vascular malformation (Figure 5).