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Scholarly Communication

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

Available under License Creative Commons Attribution.


Cited 1 times in WoS


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Additional Information:Published: 15 March 2006. 4 pages (page numbers not for citation purposes).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
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 (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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ID Code:772
Deposited On:02 Jul 2008 10:51
Last Modified:03 Apr 2012 10:02

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