Acute Ischemic Stroke with Multiple Infarctions in the Posterior Circulation Complicating Diagnostic Coronary Angiography in an Octogenarian: A Case Report

Abstract

s u m m a r yDiagnostic coronary angiography is sometimes complicated by acute stroke. An 82-year-old woman suddenly became unresponsive shortly after undergoing coronary angiography. Both of her pupils were dilated and unresponsive to light, and doll's eye movements were absent. An emergency computed tomography showed no intracranial hemorrhage. Magnetic resonance imaging performed the following day revealed an acute infarction of the left thalamus, mid-brain, and cerebellum. Computed tomographic angiography showed total occlusion of the tip of the basilar artery. Multiple infarctions secondary to occlusion of the basilar artery tip as a complication of coronary angiography has not been reported in an octogenarian.

Cerebellar stroke complicating coronary catheterization: a case report

“…Hypertension also distorts blood vessels, causing technical failure and major procedural complications [ 8 ]. Cerebellar CC-IS is highly unusual, and to our knowledge, has only been reported in a select few cases [ 9 , 10 ]. Fuchs et al .…”