Cerebellar and medial medullary infarctions are well known vertebrobasilar st roke syndromes. However, their development in a patient with distal vertebral ar tery occlusion has not been previously reported. A 49 year...Cerebellar and medial medullary infarctions are well known vertebrobasilar st roke syndromes. However, their development in a patient with distal vertebral ar tery occlusion has not been previously reported. A 49 year old man with longst anding hypertension suddenly developed vertigo, right sided Horner syndrome, an d left sided weakness. An MRI of the brain showed acute infarcts in the right i nferior cerebellum (posterior inferior cerebellar artery territory) and the righ t upper medial medulla (direct penetrating branches of vertebral artery). Magnet ic resonance angiogram showed occlusion of the distal vertebral artery on the ri ght side. Atherothrombotic occlusion of the distal vertebral artery may cause th is unusual combination of vertebrobasilar stroke.展开更多
文摘Cerebellar and medial medullary infarctions are well known vertebrobasilar st roke syndromes. However, their development in a patient with distal vertebral ar tery occlusion has not been previously reported. A 49 year old man with longst anding hypertension suddenly developed vertigo, right sided Horner syndrome, an d left sided weakness. An MRI of the brain showed acute infarcts in the right i nferior cerebellum (posterior inferior cerebellar artery territory) and the righ t upper medial medulla (direct penetrating branches of vertebral artery). Magnet ic resonance angiogram showed occlusion of the distal vertebral artery on the ri ght side. Atherothrombotic occlusion of the distal vertebral artery may cause th is unusual combination of vertebrobasilar stroke.
