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Updated: May 2, 2026

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
Vertebral Artery Occlusion With Ipsilateral Weakness Due to Ischemic Stroke at the Medulla-Cervical Spinal Cord
Peter Felton1, Yugant Khand2, Mohammad Gharavi3
1Department of Neurology Virginia Commonwealth University Richmond Virginia USA.
Abstract:
Posterior circulation strokes can present with diverse neurological deficits, some of which challenge conventional localization principles. We report a case of a 74-year-old male with a history of prior right medullary infarct who presented with recurrent symptoms and was found to have a new medullary acute ischemic stroke in the setting of chronic right vertebral artery occlusion. Notably, the patient exhibited ipsilateral limb weakness, a finding attributable to involvement near the pyramidal decussation at the medulla-spinal cord junction. This case underscores the importance of detailed neuroanatomical understanding in vertebrobasilar ischemia and highlights the diagnostic complexity of brainstem strokes.
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