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This case aims to illustrate the diagnostic challenges and neuroanatomical implications of ischemic strokes in the brainstem region.

May 3, 2026Clinical Case ReportsOpen Access

Vertebral Artery Occlusion With Ipsilateral Weakness Due to Ischemic Stroke at the Medulla–Cervical Spinal Cord Junction: A Case Report

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Case report reveals ipsilateral weakness due to ischemic stroke in a 74-year-old male, highlighting diagnostic complexity.

This case aims to illustrate the diagnostic challenges and neuroanatomical implications of ischemic strokes in the brainstem region.
Case report of a 74-year-old male with recurrent neurological symptoms
History included a prior right medullary infarct and chronic vertebral artery occlusion
Detailed neuroanatomical assessment conducted to explain clinical presentation.
Patient exhibited new acute ischemic stroke at the medulla associated with chronic vertebral artery occlusion
Ipsilateral limb weakness was linked to involvement at the pyramidal decussation
Case emphasizes the need for advanced understanding of brainstem stroke presentations.

Felton et al. (2026) studied this question.

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