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STROKE-VERTEBRAL/BASILAR ARTERY OCCLUSION

Neurology

STROKE-VERTEBRAL/BASILAR ARTERY OCCLUSION

1. Vertigo - lasting < 30min a/w nystagmus, no associated hearing loss. If vertigo without nystagmus: consider BPPV.

2. Ipsilateral cranial nerve deficits (particularly lower CN).

3. Crossed signs: motor or sensory deficit on ipsilateral side of face and contralateral side of body; ataxia, dysphagia, dysarthria.

4. There is absence of cortical signs (such as aphasias or cognitive deficits) that would be characteristic of anterior circulation involvement.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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