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

Emsley, Hedley C.A.; Young, Carolyn A. and White, Richard P. (2006) Circle of Willis variation in a complex stroke presentation: a case report. BMC Neurology, 6 . Article Number: 13. ISSN 1471-2377

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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.

Item Type:Article
Additional Information:Published: 15 March 2006. 4 pages (page numbers not for citation purposes).
Uncontrolled Keywords:CERVICAL-SPINE; ARTERY
Subjects:R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Departments, Research Centres and Related Units:Academic Faculties, Institutes and Research Centres > Faculty of Medicine > School of Clinical Sciences
DOI:10.1186/1471-2377-6-13
Publisher's Statement:© 2006 Emsley et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Refereed:Yes
Status:Published
ID Code:772
Deposited On:02 Jul 2008 10:51
Last Modified:03 Apr 2012 10:02

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