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Occipital Bone Abnormality Causing Recurrent Posterior Circulation Strokes
Author(s) -
Carolyn Cronin,
E. François Aldrich,
Steven J. Kittner
Publication year - 2011
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.110.612176
Subject(s) - medicine , occiput , abnormality , vertebral artery , radiology , stroke (engine) , embolization , etiology , occipital bone , surgery , anatomy , mechanical engineering , skull , psychiatry , engineering
We report the case of a young man with recurrent posterior circulation strokes over the course of 6 years. Standard stroke evaluation was unremarkable until careful review of catheter angiogram and CT angiogram images revealed a bony protuberance from the occiput impinging on the left vertebral artery. Local vessel injury with thrombosis and distal embolization is the presumed etiology of the recurrent infarcts. Surgical removal of this developmental anomaly was accomplished, with no subsequent neurological events.

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