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