Background: Stroke is most commonly seen in individuals over 65 years of age. When it occurs in adults between 18 and 65 years, it is classified as a young stroke. Unusual presentations such as dizziness, visual disturbances, or sensory changes often contribute to delayed recognition. Early identification is crucial for preventing complications and enhancing neurological outcomes. Case presentation: A 34-year-old female presented to the emergency department with a sudden onset of dizziness, right-sided tingling and weakness, and blurred vision. The neurological examination revealed subtle signs of posterior circulation impairment. MRI brain stroke protocol demonstrated an acute posterior circulation infarct involving multiple regions. Initial stabilization was achieved in the emergency department, after which the patient was managed in a high dependency unit. Intervention: The patient received standard acute stroke management, including aspirin, atorvastatin, and subcutaneous unfractionated heparin (UFM) for thromboprophylaxis. Supportive care and continuous neurological monitoring were provided during hospitalization. Outcomes: The patient showed progressive improvement with significant recovery of motor and sensory deficits. She was discharged in stable condition after seven days, with advice for regular follow-up and stroke prevention. Conclusion: Posterior circulation stroke can occur even in young adults and may present with subtle or non-classic symptoms. Timely imaging with MRI and regular follow-up are essential for reducing complications and improving outcomes. Clinicians should remain vigilant for posterior circulation stroke in younger patients who present with unexplained dizziness, visual disturbances, or focal neurological deficits.
Alva et al. (Thu,) studied this question.