Internal carotid artery stenosis presenting as ipsilateral posterior cerebral artery ischaemic stroke: a lesson to be learnt. (22nd April 2013)

• Record Type: Journal Article
• Authors: Hunter, Jonathan Michael; Tehrani, Sanaz Kahlili; Wood, Tanya; Geraghty, Richard
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-04-22
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-008848
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 71-year-old lady presented with a symptomatic left cerebral occipital lobe infarct. With a history of paroxysmal atrial fibrillation a cardioembolic source was initially postulated. Prior significant bleeding while anticoagulated precluded warfarin therapy. Further investigations revealed a critical left internal carotid stenosis with a persistent fetal origin of the left posterior cerebral artery. She was successfully treated surgically and suffered no further ischaemic events. Physicians encountering posterior circulation stroke should be aware of this potentially treatable important diagnosis.