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Figure: 1: (a-h) Initial DWI and ADC (a and b) show scattered bilateral juxta cortical acute infarcts with involvement of watershed regions. MRA (c and d) show intimal flaps in aortic arch with extension into neck vessels (right common carotid) and eccentric thickening in left common carotid (intramural hematoma). Follow up MRI shows progressive infarcts (e) while USG Doppler (f) and CT Angiogram (g and h) confirmed type A aortic dissection extending into bilateral carotid arteries

Figure: 1: (a-h) Initial DWI and ADC (a and b) show scattered bilateral juxta cortical acute infarcts with involvement of watershed regions. MRA (c and d) show intimal flaps in aortic arch with extension into neck vessels (right common carotid) and eccentric thickening in left common carotid (intramural hematoma). Follow up MRI shows progressive infarcts (e) while USG Doppler (f) and CT Angiogram (g and h) confirmed type A aortic dissection extending into bilateral carotid arteries