18 Vertebrobasilar Stroke

vertebral artery off from subclavian artery
supply brainstem

Rare Stroke Syndromes
SCA

Ipsilateral ataxia: won't be able to flip hands back and forth, touch nose
Basilar

both sides of body, arms, legs, face
can feel and see world but can't respond
vegetative: can't process world around. Motor intact
Central Pontine Myelinolysis

Top of Basilar

Confusions, coma, eye symptoms only
Key Syndromes

AICA

Horner

from hypothalamus to T1: cross medulla/pons
might not say miosis but unequal pupils
PICA

Nucleus Ambiguous unique to PICA
ASA


bilateral paralysis below lesion, decreased sensation below lesion except for vibration/proprioception


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