Posterior cerebral artery territory infarction associated with persistent primitive hypoglossal artery with internal carotid artery atherosclerosis.

Picture 1. (a) T2-weighted brain MRI showing a hyperintense lesion in the right posterior cerebral artery (PCA) territory. Difusion-weighted brain MRI showing no hyperintense lesions (figure not shown). (b, c) Brain MR angiography demonstrating right persistent primitive persistent hypoglossal artery (PPHA) originating from the right internal carotid artery (ICA) to the basilar artery. Bilateral vertebral arteries appeared hypoplastic and almost al the blood flow to the basilar artery was supplied by PPHA. (d) Carotid ultrasonography demonstrating iso-echoic plaque of 2 mm at the origin of the right ICA (white arrow). □ PICTURES IN CLINICAL MEDICINE □