We present neuroimages for a patient in a locked-in state with reversed flow in the anterior spinal artery as a result of bilateral distal vertebral artery occlusion. Following vertebral artery stenting, there is markedly improved flow in the posterior circulation and significant neurological recovery.
- All cerebrovascular disease/stroke
- all imaging
- brainstem infarction
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Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.