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Related Concept Videos

The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
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Hemorrhagic Stroke l: Introduction01:17

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A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
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A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Cranial Bones: Superior and Posterior View01:14

Cranial Bones: Superior and Posterior View

The superior view of the cranium shows the frontal and paired parietal bones.
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Related Experiment Video

Updated: Jun 3, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
08:22

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

Occipital bone abnormality causing recurrent posterior circulation strokes.

Carolyn A Cronin1, E Francois Aldrich, Steven J Kittner

  • 1Department of Neurology, University of Maryland School of Medicine, 110 South Paca Street, Baltimore, MD 21201, USA. ccronin@som.umaryland.edu

Stroke
|March 29, 2011
PubMed
Summary
This summary is machine-generated.

Recurrent posterior circulation strokes in a young man were caused by a bony occipital protuberance compressing the vertebral artery. Surgical removal of this anomaly resolved the issue, preventing further neurological events.

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08:22

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08:41

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Published on: December 29, 2016

Area of Science:

  • Neurology
  • Vascular Surgery
  • Developmental Anatomy

Background:

  • Recurrent strokes pose a diagnostic challenge, particularly when standard evaluations are inconclusive.
  • Posterior circulation strokes can result from various etiologies, including arterial dissection and thromboembolism.

Observation:

  • A young male patient presented with a 6-year history of recurrent posterior circulation strokes.
  • Initial stroke workups, including advanced imaging, did not reveal the underlying cause.
  • Detailed review of catheter and CT angiograms identified an occipital bony protuberance impinging on the left vertebral artery.

Findings:

  • The bony protuberance was identified as a developmental anomaly causing mechanical compression of the vertebral artery.
  • This chronic impingement likely led to local vessel injury, thrombosis, and distal embolization, resulting in recurrent ischemic strokes.
  • Surgical resection of the bony anomaly was successfully performed.

Implications:

  • This case highlights the importance of meticulous imaging review for identifying rare structural causes of stroke.
  • Surgical correction of vertebral artery compression by developmental bony anomalies can be an effective treatment for recurrent posterior circulation strokes.
  • Early diagnosis and intervention can prevent further neurological damage and improve patient outcomes.