Posterior circulation stroke: clinical features

Evidence-based neurology checklist on posterior circulation stroke: clinical features: Epidemiology This accounts for 20% of strokes It has a high risk of multiple transient ischaemic attacks (TIAs) at presentation It also has a high risk of recurrent stroke Mortality is high if there is ≥50%…

Epidemiology

  • This accounts for 20% of strokes
  • It has a high risk of multiple transient ischaemic attacks (TIAs) at presentation
  • It also has a high risk of recurrent stroke
  • Mortality is high if there is ≥50% stenosis of the vertebrobasilar vessels

Features of impaired consciousness

Features of impaired vegetative functions

Features of weakness

Unusual features

Specific posterior circulation stroke syndromes

Red flag presentations

Difficulties with clinical diagnosis

Complications

References

  1. Markus H, Van der Worp HB, Rothwell PM. Posterior circulation ischemic stroke and transient ischemic attack: diagnosis, investigation, and secondary prevention. Lancet Neurol 2013; 12:989-998.
  2. Marquardt L, Kuker W, Chandratheva A, Geraghty O, Rothwell PM. Incidence and prognosis of >50% symptomatic vertebral or basilar artery stenosis: prospective population-based study. Brain 2009; 232:982-988.
  3. Sairanen T, Strbian D, Soinne L, et al. Intravenous thrombolysis of basilar artery occlusion: predictors of recanalization and outcome. Stroke 2011; 42:2175-2179.
  4. Cloud CG, Markus HS. Diagnosis and management of vertebral artery stenosis. Q J Med 2003; 96:27-54.
  5. Benke T, Bodner T, Wiesen D, Karnath HO. The amnestic syndrome of posterior cerebral artery infarction. Eur J Neurol 2022; 29:2987-2995.
  6. And 8 more. Subscribe to see the full list

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