Axial DWI MRI. The top three panels represent serial images obtained when the patient was asymptomatic. Axial DWI MRI. The top three panels represent serial.

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Axial DWI MRI. The top three panels represent serial images obtained when the patient was asymptomatic. Axial DWI MRI. The top three panels represent serial images obtained when the patient was asymptomatic. The lower three panels obtained while symptomatic, about 10 hours later with primary gaze upbeat nystagmus and a right internuclear ophthalmoplegia. The red arrow points to the mid-basilar stenosis and occlusion of the lumen of a paramedian penetrator artery. The yellow arrow points to the midline pontine tegmentum/basis pontis stroke. Jorge C Kattah Stroke Vasc Neurol 2018;3:190-196 © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.