Andreas Sotiriou1*, Ashley Uttley2 and Helen Law1
1Emergency Department, Harrogate District Hospital, UK 2Department of Radiology, Harrogate District Hospital, UKFulltext PDF
A 56 year old man presented to the emergency department with new onset tonic-clonic seizures. He was conscious and alert on arrival, and able to give an approximately two week history of occasional visual disturbance and dizziness. Cerebellar signs were evident on examination. Initial imaging was inconclusive, although suspicious for pathology. The clinical team were asked to bring the patient back to the radiology department for repeat Computed Tomography (CT) with angiography of the intracranial vessels. This revealed an almost complete occlusion of the left vertebral artery, and cerebellar infarction. An atypical presentation of cerebrovascular ischemia, this patient was transferred to the local stroke unit for further treatment.
Sotiriou A, Uttley A, Law H. Complete Vertebral Artery Occlusion Presenting with New Onset Seizures: A Rare Presentation of Posterior Circulation Stroke. Ann Clin Case Rep. 2020; 5: 1823.