Unilateral posterior cervical spinal cord infarction due to spontaneous vertebral artery dissection.

Context: Ischemia of the cervical spinal cord is a rare complication of spontaneous vertebral artery dissection (VAD) and usually involves the ventral portion. We describe a less evocative clinical presentation and images of unilateral posterior spinal cord infarction due to spontaneous VAD in order to facilitate early diagnosis.

Findings: A previously fit 30-year-old man presented with persistent headaches and proximal motor deficit of the right arm.

Intravenous thrombolysis in thromboembolic occlusion of the A1 segment of the left anterior cerebral artery only.

This case describes the treatment of an 84-year-old male patient with acute bi-frontal ischemic stroke, due to thromboembolic occlusion of the A1 segment of the left anterior cerebral artery (ACA) only. The National Institutes of Health Stroke Scale (NIHSS) was 11. Intravenous fibrinolysis was performed with a good outcome.