• Koji Ishitsuka, Yusuke Sakaki, Shota Sakai, Takeshi Uwatoko, Hitoshi Aibe, Tetsuro Ago, Takanari Kitazono, and Hiroshi Sugimori.
• Department of Cerebrovascular Medicine, Saga Medical Center Koseikan, Kase-machi Nakabaru 400, Saga, 840-8571, Japan.
• Bmc Neurol. 2016 Jul 29; 16: 121.

BackgroundVolume isotropic turbo spin-echo acquisition (VISTA) is a new method similar to the 3D black-blood imaging method that enables visualization of a intramural hematoma. T1-VISTA has recently been applied in the diagnosis of intracranial arterial dissection. However, the identification of an intramural hematoma in posterior inferior cerebellar dissection (PICA-D) by T1-VISTA has only rarely been reported.Case PresentationWe herein report two patients who suffered from PICA-D complicated with ischemic stroke. Initial magnetic resonance arteriography was not informative, however, T1-VISTA depicted high-intensity signal areas suggesting an intramural hematoma of PICA-D in both cases. The high-intensity signal areas gradually reduced and finally disappeared at 4 months and 5 months after the onset, respectively.ConclusionOur cases demonstrate that T1-VISTA was able to assist in the diagnosis and follow-up of PICA-D.

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