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Rare diseases mimicking acute vertebrobasilar artery thrombosis
Authors:U. Meyding-Lamadé  K. Rieke  D. Krieger  W. Hacke  Michael Forsting  Klaus Sartor  Christian Sommer
Affiliation:(1) INF 400, Kopfklinik, Department of Neurology, University of Heidelberg, D-69120 Heidelberg, Germany;(2) Department of Clinical Neuroradiology, University of Heidelberg, D-69120 Heidelberg, Germany;(3) Department of Neuropathology, University of Heidelberg, D-69120 Heidelberg, Germany
Abstract:Acute ischaemia of the vertebrobasilar circulation leads to a variety of clinical manifestation and is mostly due to cardiogenic or artery-to-artery embolism. We describe four neurological emergency situations involving vertebrobasilar artery aclusion of other origins: basilar migraine, extrinsic compression by rheumatoid inflammatory tissue, generalized vasculitis in subacute rheumatic fever and basilar artery dissection. The differential diagnosis of acute vertebrobasilar artery occlusion may have an important impact on patient management.
Keywords:Vertebrobasilar artery occlusion  Migraine  Rheumatoid arthritis  Rheumatic fever  Basilar artery dissection
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