4.2 Article

Vertebral Artery Stump Syndrome

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INTERNAL MEDICINE
卷 57, 期 5, 页码 733-736

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JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.9317-17

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vertebral artery stump syndrome; ultrasonography; spiral turbulent flow; embolic ischemic stroke; bilateral cerebellar infarction

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Carotid stump syndrome is a well-documented embolic source for ischemic stroke. However, few cases have been reported of a similar condition - termed vertebral artery stump syndrome - which affects the posterior circulation after vertebral artery origin occlusion. We herein report a case of infarction of the right superior cerebellar artery and left posterior inferior cerebellar artery territories due to vertebral artery stump syndrome. In this interesting case, a turbulent flow at the distal side of the vertebral artery occlusion was captured on ultrasonography, and was identified as the probable mechanism of vertebral artery stump syndrome.

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