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BMC Neurol. 2006 Mar 15;6:13.

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

Author information

1
Division of Neuroscience, University of Liverpool, The Walton Centre for Neurology & Neurosurgery, Liverpool L9 7LJ, UK. h.emsley@liv.ac.uk

Abstract

BACKGROUND:

The impact of circle of Willis anatomical variation upon the presentation of stroke is probably underrecognized.

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.

PMID:
16539714
PMCID:
PMC1434765
DOI:
10.1186/1471-2377-6-13
[Indexed for MEDLINE]
Free PMC Article

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