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Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis
We present the case of a 65-year-old patient who suffered a wake-up brainstem stroke. The only symptom reported by the patient was double vision. Upon examination, she was found to have left internuclear ophthalmoplegia and ipsilateral downbeat nystagmus. Magnetic resonance angiography revealed a un...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Cureus
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682511/ https://www.ncbi.nlm.nih.gov/pubmed/33240710 http://dx.doi.org/10.7759/cureus.11114 |
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author | Ivona, Javier A |
author_facet | Ivona, Javier A |
author_sort | Ivona, Javier A |
collection | PubMed |
description | We present the case of a 65-year-old patient who suffered a wake-up brainstem stroke. The only symptom reported by the patient was double vision. Upon examination, she was found to have left internuclear ophthalmoplegia and ipsilateral downbeat nystagmus. Magnetic resonance angiography revealed a unilateral partial fetal posterior cerebral artery and unilateral posterior communicating artery hypoplasia. The patient was ineligible for intravenous thrombolysis: she evolved favorably with anti-platelet medication and was discharged after five days. We put forth a discussion on the clinical significance of these physical exams and magnetic resonance imaging findings. |
format | Online Article Text |
id | pubmed-7682511 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-76825112020-11-24 Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis Ivona, Javier A Cureus Emergency Medicine We present the case of a 65-year-old patient who suffered a wake-up brainstem stroke. The only symptom reported by the patient was double vision. Upon examination, she was found to have left internuclear ophthalmoplegia and ipsilateral downbeat nystagmus. Magnetic resonance angiography revealed a unilateral partial fetal posterior cerebral artery and unilateral posterior communicating artery hypoplasia. The patient was ineligible for intravenous thrombolysis: she evolved favorably with anti-platelet medication and was discharged after five days. We put forth a discussion on the clinical significance of these physical exams and magnetic resonance imaging findings. Cureus 2020-10-23 /pmc/articles/PMC7682511/ /pubmed/33240710 http://dx.doi.org/10.7759/cureus.11114 Text en Copyright © 2020, Ivona et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Ivona, Javier A Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis |
title | Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis |
title_full | Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis |
title_fullStr | Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis |
title_full_unstemmed | Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis |
title_short | Brainstem Stroke Presenting as Wake-Up Diplopia in a Patient With an Incomplete Circle of Willis |
title_sort | brainstem stroke presenting as wake-up diplopia in a patient with an incomplete circle of willis |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682511/ https://www.ncbi.nlm.nih.gov/pubmed/33240710 http://dx.doi.org/10.7759/cureus.11114 |
work_keys_str_mv | AT ivonajaviera brainstemstrokepresentingaswakeupdiplopiainapatientwithanincompletecircleofwillis |