case_images: PMC6262945_01
case_images: Normal non-contrast head CT during initial work up upon arrival to the emergency room
case_images: SNI-9-230-g001.jpg
case_images: PMC6262945_01_SNI-9-230-g001.jpg
case_images: F1
case_images: Code stroke was activated at the same time as a computer tomography (CT) head was obtained [Figure 1].
case_images: Diffusion weighted image 48 h after admission demonstrating a bilateral thalamic (left) and midbrain (right) infarction
case_images: SNI-9-230-g002.jpg
case_images: PMC6262945_01_SNI-9-230-g002.jpg
case_images: F2
case_images: At 24 hours after admission, an MRI was obtained which showed bilateral thalamic and midbrain infarction [Figure 2].
case_images: Follow-up CTA demonstrating patency of the basilar artery, the right-sided dominance of the vertebral artery, and patency of both posterior cerebral arteries
case_images: SNI-9-230-g003.jpg
case_images: PMC6262945_01_SNI-9-230-g003.jpg
case_images: F3
case_images: This showed patency of all intra and extra cranial vasculature without evidence of stenosis [Figure 3].
case_images: AP CXR status post pacemaker placement
case_images: SNI-9-230-g004.jpg
case_images: PMC6262945_01_SNI-9-230-g004.jpg
case_images: F4
case_images: He stayed in the hospital for 10 days, and later underwent cardiac pacer placement [Figure 4] before he was discharged to home.