case_images: PMC6260547_01
case_images: Brain CT on presentation.
case_images: CRICC2018-2591494.001.jpg
case_images: PMC6260547_01_CRICC2018-2591494.001.jpg
case_images: fig1
case_images: Initial brain CT was negative for hemorrhage or any infarcts [Figure 1].
case_images: Axial CT images demonstrating bilateral large areas of hypoattenuation consistent with acute MCA and ACA infarcts.
case_images: CRICC2018-2591494.002.jpg
case_images: PMC6260547_01_CRICC2018-2591494.002.jpg
case_images: fig2
case_images: She had a repeat CT the next day that demonstrated large areas of low attenuation in both cerebral hemispheres consistent with acute ACA and MCA infarcts [Figures 2(a) and 2(b)].
case_images: Maximum intensity projection (MIP) axial image of the CT angiogram demonstrates severe stenosis of the internal carotid arteries (single arrows) and occlusion of the Rt, MCA (double arrows).
case_images: CRICC2018-2591494.003.jpg
case_images: PMC6260547_01_CRICC2018-2591494.003.jpg
case_images: fig3
case_images: ACAs were patent but diffusely decreased in caliber, and prominent lenticulostriate vessels were noted in the basal ganglia bilaterally [Figures 3 and 4].
case_images: Coronal MIP demonstrates prominent lenticulostriate collaterals in the basal ganglia (arrows).
case_images: CRICC2018-2591494.004.jpg
case_images: PMC6260547_01_CRICC2018-2591494.004.jpg
case_images: fig4
case_images: ACAs were patent but diffusely decreased in caliber, and prominent lenticulostriate vessels were noted in the basal ganglia bilaterally [Figures 3 and 4].