What are the signs and symptoms of vertebrobasilar stroke?

Updated: Aug 09, 2021
  • Author: Vladimir Kaye, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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In contrast, embolic events are sudden, without prodrome or warning, with acute and dramatic presentation. Commonly reported symptoms associated with vertebrobasilar strokes include the following [2] :

  • Vertigo

  • Nausea and vomiting

  • Headache

  • Abnormalities in the level of consciousness

  • Abnormal oculomotor signs (eg, nystagmus, lateral gaze abnormalities, diplopia, pupillary changes)

  • Ipsilateral cranial nerve weakness (eg, dysarthria, dysphagia, dysphonia, weakness of facial muscles and tongue)

  • Sensory loss (in the face and scalp)

  • Ataxia

  • Contralateral motor weakness (eg, hemiparesis, quadriparesis)

  • Pain and temperature loss

  • Incontinence

  • Visual-field defects

  • Presence of central pain

  • Abnormal swelling

  • Sweating in the face or extremities

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