18 Vertebrobasilar Stroke
typora-copy-images-to: ./images
![](https://photos.thisispiggy.com/file/wikiFiles/183B21D1-6037-4F71-9F34-89C75024E78A.jpg)
- vertebral artery off from subclavian artery
- supply brainstem
![](https://photos.thisispiggy.com/file/wikiFiles/88C9E208-0779-440B-8EA8-F10CFE603339.jpg)
Rare Stroke Syndromes
SCA
![](https://photos.thisispiggy.com/file/wikiFiles/0824B47D-E599-4580-8204-464181BCE5D1.jpg)
- Ipsilateral ataxia: won't be able to flip hands back and forth, touch nose
Basilar
![](https://photos.thisispiggy.com/file/wikiFiles/B685E164-0152-473B-8F06-10BB524E5A77.jpg)
- both sides of body, arms, legs, face
- can feel and see world but can't respond
- vegetative: can't process world around. Motor intact
Central Pontine Myelinolysis
![](https://photos.thisispiggy.com/file/wikiFiles/FEF5BC49-6200-4352-84CA-AC8DD5E1CBEA.jpg)
Top of Basilar
![](https://photos.thisispiggy.com/file/wikiFiles/894B5B8A-4C22-444B-B0C2-03861D32BBBE.jpg)
- Confusions, coma, eye symptoms only
Key Syndromes
![](https://photos.thisispiggy.com/file/wikiFiles/9120D236-0DD8-4B5D-A60F-522CD0705B9B.jpg)
AICA
![](https://photos.thisispiggy.com/file/wikiFiles/1CB75449-E388-4EA7-8EDC-0A68E529BE87.jpg)
Horner
![](https://photos.thisispiggy.com/file/wikiFiles/DCB22F3A-B36A-4E28-AEDF-39FE25556442.jpg)
- from hypothalamus to T1: cross medulla/pons
- might not say miosis but unequal pupils
PICA
![](https://photos.thisispiggy.com/file/wikiFiles/A3C57946-FAA8-4841-9CE1-D1544E12CCCB.jpg)
- Nucleus Ambiguous unique to PICA
ASA
![](https://photos.thisispiggy.com/file/wikiFiles/7F3AD857-2B56-4325-997F-51D025E1B6CE.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/DCE7C1DC-032C-4B91-857B-97DEB26FAA0A.jpg)
- bilateral paralysis below lesion, decreased sensation below lesion except for vibration/proprioception
![](https://photos.thisispiggy.com/file/wikiFiles/FB2B2C79-ED24-4EB1-A2FE-626982281786.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/266DA3CE-3E35-49AB-A687-4FB5BF41F9B8.jpg)
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