Plain CT scan of head (a) and prethrombectomy (b, c), during thrombectomy (d, e, f) and post-thrombectomy (g, h) digital subtraction angiogram images in.

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Presentation transcript:

Plain CT scan of head (a) and prethrombectomy (b, c), during thrombectomy (d, e, f) and post-thrombectomy (g, h) digital subtraction angiogram images in a 61-year-old man who presented with a 10 min seizure, followed by left-sided weakness and neglect. Plain CT scan of head (a) and prethrombectomy (b, c), during thrombectomy (d, e, f) and post-thrombectomy (g, h) digital subtraction angiogram images in a 61-year-old man who presented with a 10 min seizure, followed by left-sided weakness and neglect. Plain CT scan of head shows hyperdense thrombus in the right middle cerebral artery (red arrow, a) with angiogram identifying a critical stenosis of the internal carotid artery origin (blue arrow, b). We performed middle cerebral artery thrombectomy using stent retriever technique (e and f). An internal carotid artery stent was inserted (green arrow, d) complicated by an iatrogenic dissection (yellow arrow, e) necessitating stenting (purple arrow, h). Matthew R B Evans et al. Pract Neurol doi:10.1136/practneurol-2017-001685 ©2017 by BMJ Publishing Group Ltd