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| Year : 1999 | Volume
: 47
| Issue : 4 | Page : 344 |
Neuroimage : acute hydrocephalus in posterior circulation stroke.
Arora A
Tagore Hospital P. Ltd., Banda Bahadur Nagar, Mahavir Marg, Jalandhar, 144008, India.
Correspondence Address:
Tagore Hospital P. Ltd., Banda Bahadur Nagar, Mahavir Marg, Jalandhar, 144008, India.
How to cite this article:
Arora A. Neuroimage : acute hydrocephalus in posterior circulation stroke. Neurol India 1999;47:344 |
A 53 years old male presented to the emergency department with a history of sudden onset of severe vertigo followed by unconsciousness. Patient was hypertensive, on irregular treatment. His examination revealed absent Doll's eye movements and bilateral extensor planters. Initial CT scan done within six hours did not reveal any abnormality. CT scan done after twenty four hours revealed extensive infarcts, involving both thalami and cerebellum (arrows) and a moderate hydrocephalus [Figure. 1] and [Figure. 2]. Digital subtraction angiography was planned but could not be performed due to poor condition of the patient.
Comments
Acute hydrocephalus is a rare manifestation of posterior circulation strokes. In the present case the mechanism seems to be pressure on the aqueduct due to bilateral thalamic infarcts.
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