Pretreatment DWI (A–C) and ADC maps (E–G) of a comatose 45-year-old man with areactive tetraplegia. Pretreatment DWI (A–C) and ADC maps (E–G) of a comatose.

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Presentation transcript:

Pretreatment DWI (A–C) and ADC maps (E–G) of a comatose 45-year-old man with areactive tetraplegia. Pretreatment DWI (A–C) and ADC maps (E–G) of a comatose 45-year-old man with areactive tetraplegia. DWI shows extensive brain stem lesions (arrows, B and C; brain stem DWI lesion score, 10) and bilateral lesions in the posterior inferior cerebellar arteries and left posterior cerebral artery territories. DSA shows occlusion of the V4 segment of the right vertebral artery and of the lower basilar artery (arrow, D). A TIMI 2 recanalization was achieved after intra-arterial tPA and balloon angioplasty of a 70% proximal basilar stenosis (H). Time from symptom onset to treatment was 14 hours 20 minutes. The patient was in a locked-in syndrome at 3 months (mRS, 5). T.-H. Cho et al. AJNR Am J Neuroradiol 2009;30:194-198 ©2009 by American Society of Neuroradiology