MRI showed a pontine infarct and mural thickening of intermediate sign
al in T1 weighted images proximal to occlusion of the basilar artery i
n a 10-year-old boy. Two days later the mural thickening was of high s
ignal, consistent with methaemoglobin formation and MR angiography (MR
A) showed nonspecific lack of flow in the mid-segment of the basilar a
rtery, which corresponded to a tapered occlusion at arteriography. MRI
is more useful than MRA for noninvasive diagnosis of basilar artery d
issection.