case_images: PMC2684996_01
case_images: Left vertebral arteriogram (A) shows a complete occlusion of the distal basilar artery. Anteroposterior (B) and lateral (C) views of the angiogram obtained after the angioplasty and intra-arterial thrombolysis procedures demonstrates partial recanalization of the basilar artery and a single perforating thalamic artery (curved arrow) arising from the midline of the basilar bifurcation.
case_images: kjr-6-41-g001.jpg
case_images: PMC2684996_01_kjr-6-41-g001.jpg
case_images: F1
case_images: Angiography revealed a complete occlusion of the distal basilar artery (Fig. 1A). In addition, angiograms demonstrated a single perforating thalamic artery that was divided into two branches (Figs. 1B, C).
case_images: A. Nonenhanced CT scan performed immediately after the intraarterial thrombolytic therapy shows hyperdense lesions (arrows) in the bilateral paramedian regions of the thalami.. B. The follow-up CT scan obtained 24 hours after completing the intra-arterial thrombolytic procedure shows the disappearance of the hyperdense lesions and the development of hypodensities (arrows) in the bilateral paramedian thalamic regions.
case_images: kjr-6-41-g002.jpg
case_images: PMC2684996_01_kjr-6-41-g002.jpg
case_images: F2
case_images: A non-enhanced CT scan obtained immediately after the endovascular therapy showed bilateral symmetrical high attenuations in the paramedian thalamic regions (Fig. 2A). The follow-up nonenhanced CT scan obtained 24 hours after completing the intra-arterial thrombolytic therapy showed the disappearance of the hyperdense lesions and the development of hypodensities in the bilateral paramedian thalamic regions without a hemorrhagic transformation (Fig. 2B).