What is the clinical presentation of vertebrobasilar artery occlusions in ischemic stroke?

Updated: May 27, 2020
  • Author: Edward C Jauch, MD, MS, FAHA, FACEP; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Vertebrobasilar artery occlusions are particularly difficult to localize because they may cause a wide variety of cranial nerve, cerebellar, and brainstem deficits, and may be vague in nature. These include the following:

  • Vertigo

  • Nystagmus

  • Diplopia

  • Visual field deficits

  • Dysphagia

  • Dysarthria

  • Facial hypesthesia

  • Syncope

  • Ataxia


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