Key result
Bilateral vertebrobasilar stroke can present with severe bradycardia, hypotension, and slow AF before coma.
Bilateral basilar stroke can present unusually with significant bradycardia and hypotension.
Bilateral vertebrobasilar stroke may present with bradycardia and hypotension; hypothesis-generating for stroke evaluation in unexplained syncope.
We report a case of 79-year-old man who presented to our emergency department (ED) for lipothymia. The patient developed significant bradycardia with hypotension. His EKG objectified a slow atrial fibrillation .the patient rapidly installed a coma. A non-contrast CT brain scan showed a bilateral vertebrobasilar ischemic stroke.
No takes yet. Share an insight, caveat, or question.
Zidouh S (2017) studied this question. Bilateral vertebrobasilar ischemic stroke presented unusually with significant bradycardia, hypotension, and slow atrial fibrillation prior to the rapid onset of coma.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: