by
Dr. R. Murali
A 29 year old lady presented with sudden episode
of giddiness followed by transient loss of consciousness while going to work.
Recovered and had no deficit on admission an hour later. CT was normal.No
previous significant history. Next day developed features of mild left lateral
medullary syndrome. MRI showed ischemia of brainstem confirming this.
Recovered over the next two weeks with no deficit. On Aspirin and
clopidogrel at present. She still gets episodes of mild giddiness. CT angio
shows narrowing of the Vertebral artery on the left side. Workup for young
stroke negative. No heart problem. What's to be done next? Is there a role for
interventional angioplasty?
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(c) 2006 M.H. Rivner, M.D.
Last updated 07/02/2006