case_images: PMC11794089_01
case_images: (A, B) Ischemic stroke lesion in the paraventricular region; (C) Stenosis in the right middle cerebral artery; (D-G): Cerebral cavernous malformation in the left cerebellum (D): T1, (E): T2, (F): susceptibility-weighted imaging, (G): computed tomography; (H): Stenosis in the right middle cerebral artery; (I): Successful dilation in the right middle cerebral artery; (J): Right middle cerebral artery in follow-up period.
case_images: fneur-16-1500451-g001.jpg
case_images: PMC11794089_01_fneur-16-1500451-g001.jpg
case_images: fig1
case_images: Magnetic resonance imaging (MRI) and magnetic resonance angiography identified an ischemic stroke lesion in the paraventricular region, along with stenosis in the right middle cerebral artery, left vertebral artery, and right posterior cerebral artery (Figures 1A-C). August 5th, 2020, confirming the presence of a CCM (Figures 1D-G). Arterial spin labeling further indicated hypoperfusion in the right cerebral hemisphere. Stenosis in the right middle cerebral artery was confirmed (Figure 1H). Ten minutes later, we achieved successful dilation with a grade 2b thrombolysis on the cerebral infarction scale (Figure 1I); therefore, stenting and mechanical thrombectomy were not required. During the follow-up period, we re-performed magnetic resonance angiography (4 months after discharge); this scan did not reveal any evidence of restenosis (Figure 1I).