Circle of Willis variation in a complex stroke presentation: A case report

Hedley C A Emsley, Carolyn A. Young, Richard P. White

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: The impact of circle of Willis anatomical variation upon the presentation of stroke is probably underrecognised. Case presentation: A 63-year-old right-handed woman developed a left hemiparesis and right leg weakness sequentially following a road traffic accident (RTA). Despite initial concern about the possibility of cervical spinal cord injury, the final diagnosis was bilateral artery-to-artery embolic cerebral infarction with dominant right internal carotid artery. Conclusion: The case illustrates the complex presentation of stroke as a pseudo-cervical cord lesion and the impact of circle of Willis anatomical variation upon the expression of large vessel cerebrovascular disease. © 2006 Emsley et al; licensee BioMed Central Ltd.
    Original languageEnglish
    Article number13
    JournalBMC Neurology
    Volume6
    DOIs
    Publication statusPublished - 15 Mar 2006

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