Posterior circulation stroke: causes

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Posterior circulation stroke: causes. This usually causes paramedian midbrain or pontine infarcts. Fully referenced neurology checklist.

Basilar artery stenosis

  • This usually causes paramedian midbrain or pontine infarcts
  • There are usually heralding signs before onset

Intracranial arterial dolichoectasia (IADE)

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Other vascular causes

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Non-vascular causes

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References

  1. Markus H, Van der Worp HB, Rothwell PM. Posterior circulation ischemic stroke and transient ischemic attack: diagnosis, investigation, and secondary prevention. Lancet Neurol 2013; 12:989-998.
  2. Bogousslavsky J, Regli F, Maeder P, Meuli R, Nader J. The etiology of posterior circulation infarcts: a prospective study using magnetic resonance imaging and magnetic resonance angiography. Neurology 1993; 43:1528-1533.
  3. von Campe G, Regli F, Bogousslavsky J. Heralding manifestations of basilar artery occlusion with lethal or severe stroke. JNNP 2003; 74:1621-1626.
  4. Pico F, Labreuche J, Amarenco P. Pathophysiology, presentation, prognosis, and management of intracranial arterial dolichoectasia. Lancet Neurol 2015; 14:833-845.
  5. Zhai FF, Yan S, Li ML, et al. Intracranial arterial dolichoectasia and stenosis: risk factors and relation to cerebral small vessel disease. Stroke 2018; 49:1135-1140. 
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