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. 2020 May 12;20:179. doi: 10.1186/s12883-020-01756-7

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Radiological observations on the second admission a–c. Brain magnetic resonance imaging (MRI) on the second admission shows hyperintense lesions in the bilateral occipital lobe on diffusion-weighted imaging (a), apparent diffusion coefficient map (b), and fluid-attenuated inversion recovery (c). d. MR angiography shows stenosis in bilateral middle cerebral arteries (MCAs). e. Three-dimensional contrast-enhanced angiography revealed occlusions in bilateral MCAs (yellow arrowheads). f. Contrast-enhanced MRI shows multiple punctate and linear gadolinium-enhanced lesions (red arrows) in the occipital and temporal lobes and cerebellum