Vertebrobasilar distribution stroke mimicking transtentorial herniation.
Strokes in the vertebrobasilar arterial distribution may result in a variety of physical findings and can be challenging to diagnose. We report a case of a 60-year-old woman with infarction of the left midbrain, right pons, and bilateral thalami with physical findings resembling transtentorial herniation.
Lipinski
C A
CA
Department of Emergency Medicine, University of Pittsburgh School of Medicine, PA, USA. clipinsk@med.wayne.edu
Swanson
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ER
D001933:Brain Stem / Q000098:blood supply*; D001999:Bronchoscopy / Q000009:adverse effects; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000209:etiology; D003951:Diagnostic Errors; D004638:Emergency Treatment; D004677:Encephalocele / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009460:Neurologic Examination; D011149:Pons / Q000098:blood supply*; D013788:Thalamus / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis* / Q000209:etiology