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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

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Published on: September 19, 2019

Bilateral vertebral artery stenosis present with vertigo.

Dilcan Kotan¹, Saadet Sayan, Bilgehan Atilgan Acar

¹Department of Neurology, Sakarya University Medical Faculty, Sakarya, Turkey. dilcankotan@yahoo.com

BMJ Case Reports

|February 5, 2013

Summary

Vertebrobasilar ischemia, often from vertebral artery issues, presents diverse symptoms like vertigo. Early diagnosis via cranial MR angiography is crucial for this stroke subtype.

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Area of Science:

Neurology
Vascular Medicine
Diagnostic Imaging

Background:

Approximately 25% of ischemic stroke cases originate from the posterior or vertebrobasilar system.
Vertebral artery ischemia can stem from various pathologies, locations, and manifest with distinct clinical presentations.
Timely diagnosis and intervention are important for vertebrobasilar ischemia, despite its relatively low morbidity and mortality.

Observation:

Patients may present with symptoms including vertigo, tinnitus, diplopia, headache, hypokinesis, and hearing impairments.
A case study details a 42-year-old patient presenting to the emergency department with vertigo.
The patient subsequently received a diagnosis of bilateral vertebral artery stenosis.

Findings:

Cranial MR angiography confirmed bilateral vertebral artery stenosis in the presented case.
This diagnostic imaging technique proved effective in identifying the underlying cause of the patient's symptoms.
The findings highlight the utility of MR angiography in diagnosing vertebrobasilar arterial disease.

Implications:

Accurate diagnosis of vertebral artery stenosis is key for managing vertebrobasilar ischemia.
Early detection can potentially improve patient outcomes and reduce stroke-related complications.
This case underscores the importance of considering vascular causes for neurological symptoms like vertigo.