Case Notes
History
42 year old male with acute right sided numbness and acute left neck pain; patient has a history of seizures and hypertension.Exam
MR diffusion
Prior Study
CT Head and T1-w sequences are not available.MR flair and spin-echo axial imaging (part of stroke protocol not a seizure protocol).
Evidence of an acute seizure event based on subtle hippocampal edema.
There is evidence of an acute high cervical ICA dissection with luminal narrowing in the 50% range, but with persistent antegrade filling.