Case Report 📝: Vertebral Artery Dissection causing a Posterior circulation Stroke by Dr. Avi скачать в хорошем качестве

Case Report 📝: Vertebral Artery Dissection causing a Posterior circulation Stroke by Dr. Avi

Neuro Case Report by Dr. Avi Diagnosing posterior circulation strokes is challenging due to non-focal symptoms and their overlap with anterior circulation ischemia. Common presentations include lateral medullary syndrome (Wallenberg) and cerebellar infarctions, with symptoms like nystagmus, truncal ataxia, tongue deviation, internuclear ophthalmoplegia, and contralateral pain and temperature impairment. These strokes are often missed on NCCT head scans. High clinical suspicion and evolving neurological signs should prompt a CT angiogram of the head and neck, though MR angiography remains the gold standard for confirming vertebral artery dissection. Management involves securing the airway, breathing, and circulation, followed by thrombolytic therapy if the patient presents within 4.5 hours of symptom onset. This report emphasizes the importance of maintaining a high index of suspicion for posterior circulation strokes in the emergency setting and highlights the diagnostic and therapeutic strategies employed to manage this rare but critical condition.