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The described hyperechogenic artifact spot may be an additional mode to support diagnosis of OND. This finding might be helpful for making a differential diagnosis between OND and papilledema.We describe a novel bypass technique used to revascularize the brainstem by anastomosing the internal carotid artery (ICA) to the posterior cerebral artery (PCA) using a radial artery graft, effectively creating a functional alternative to the posterior communicating artery. A 72-year-old male patient presented with rapidly progressive neurological