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case 4  


ossama yassin mansour
Member Admin
Joined: 2 years ago
Posts: 10
13/02/2018 4:21 pm  

Clinical data

36 y male patient presented by expressive aphasia after 2 hour onset and patient received rtpa with partial improvement. workup for the source did not show any risk factors except the following findings

US duplex showed athrometous plaque 


MRI showing the following

MRA (TOF) shows nothing 

CTA shows the following 

SO DSA was done with the following


what is the Deferential diagnosis 



what is your diagnosis ?


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