case_images: PMC7871720_01
case_images: Magnetic resonance fluid attenuated inversion recovery and diffusion weighted imaging showing high signal intensity in the right medial occipital lobe that extends into the right retro-splenial area consistent with an acute infarction.
case_images: bmjno-2019-000009f01.jpg
case_images: PMC7871720_01_bmjno-2019-000009f01.jpg
case_images: F1
case_images: MRI brain performed 3 days after his admission revealed an acute ischaemic infarct involving the medial aspect of the right occipital lobe that extended into the right retro-splenial area (figure 1).
case_images: Magnetic resonance angiography (MRA) showing atherosclerotic changes of the right PCA artery. Irregularity of the P2 and P3 segments was noted with non-visualisation of the P4 segment suggestive of thrombosis. PCA, posterior cerebral artery.
case_images: bmjno-2019-000009f02.jpg
case_images: PMC7871720_01_bmjno-2019-000009f02.jpg
case_images: F2
case_images: The cortical segment (P4) is also not visualised suggestive of thrombosis (figure 2).