A rare case of posterior circulation stroke with anterior spinal artery involvement

Rajasekara Pandian T. K.; Hemkumar S.; Mugundhan K.; Kannan V.; Viveka Saravannan R.; Malcolm Jeyaraj K.; Sakthi Velayutham S.; Sowmini P. R.; Lakshmanan S.

doi:10.18203/2320-6012.ijrms20251009

Authors

Rajasekara Pandian T. K. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Hemkumar S. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Mugundhan K. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Kannan V. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Viveka Saravannan R. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Malcolm Jeyaraj K. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Sakthi Velayutham S. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Sowmini P. R. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India
Lakshmanan S. Department of Neurology, Stanley Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251009

Keywords:

Anterior spinal artery, Posterior inferior cerebellar artery, Anterior spinal artery infarction

Abstract

A 36 year old gentlemen with diabetes mellitus and systemic hypertension with acute onset giddiness with weakness of both upper limbs, developed over a period of several hours with bilateral triceps weakness, wrist dorsiflexion and palmar flexion weakness with no sensory disturbance and cerebellar signs. MRI brain showed left cerebellar infarct, left lateral medullary infarct, non- visualization of left vertebral artery, T2 hyper-intensity of cervical cord from 4^th cervical segment to 8^th cervical segment, multiple areas are affected because of left vertebral artery occlusion.

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