Table 1.
Posterior circulation syndromes and associated brain region, clinical signs.
Syndrome(s) | Vessel(s) | Brain region(s) | Contralateral sign(s) | Ipsilateral sign(s) |
---|---|---|---|---|
None | VA, PICA | Cerebellum | None | Truncal, leg, and gait ataxia/dystaxia |
Medial medullary, Wallenberg | ASA, VA, PICA | Caudal Medulla | Any sensory input loss hemiplegia | Horner's syndrome, tongue weakness, dysphagia, hoarseness, loss of facial sensation, nystagmus, vertigo, ataxia |
Locked-in, Foville, Millard-Gubler, Marie-foix | BA, AICA | Pons | Loss of pain or temperature sensation, hemiplegia | Facial or lateral gaze weakness, dysarthria, hemiplegia, ataxia |
Parinaud, Benedikt, Weber, Claude |
PCA | Midbrain | Tremor, hemiplegia, motor deficit, cerebellar ataxia | Paralysis of gaze and accommodation, fixed pupils, CNIII palsy |
Dejerine-Roussy | PCA | Thalamus | Pain syndrome, any sensory input loss | None |
Balint, Anton | PCA | Occipital, Temporal lobes | Vision loss, blindness denial | Vision and eye movement loss, misinterpretation of visual objects, blindness denial, loss of visual-motor coordination |
VA: vertebral artery; PICA: posterior inferior cerebellar artery; ASA: anterior spinal artery; BA: basilar artery; AICA: anterior inferior cerebellar artery; PCA: posterior cerebral artery; CNIII: cranial nerve three.