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Resident & Fellow Section Free Access A 49-year-old man presented with left hemiparesis and hemineglect (National Institutes of Health Stroke Scale 9) of unknown onset time. CT angiography revealed right M1-MCA occlusion and ascending aortic mural thrombosis, without atherosclerosis or aneurysmal dilation (Figure 1). He was ineligible for thrombolysis and underwent mechanical thrombectomy with partial reperfusion.
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