Neurology and Neuroscience

Bilateral Vertebral Artery Dissection and Patent Foramen Ovale Leading to Cerebellar Ischemia in a Young Adult: Case Report and Literature Review

Pedro Nogarotto Cembraneli,

Pedro Nogarotto Cembraneli

Department of Neurosurgery, Hospital of Neurology Santa Mônica, Goiânia, Goiás, Brazil

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Julia Brasileiro de Faria Cavalcante,

Julia Brasileiro de Faria Cavalcante

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Italo Nogarotto Cembraneli,

Italo Nogarotto Cembraneli

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Renata Brasileiro de Faria Cavalcante,

Renata Brasileiro de Faria Cavalcante

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Anthony Emerson Pereira Martins Silva,

Anthony Emerson Pereira Martins Silva

Department of Neurosurgery, Hospital of Neurology Santa Mônica, Goiânia, Goiás, Brazil.

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Leonardo Taveira Lopes,

Leonardo Taveira Lopes

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David de Araujo Almeida Filho,

David de Araujo Almeida Filho

Department of Cardiology and Interventional Cardiology, Hospital of Neurology Santa Mônica, Goiânia, Goiás, Brazil.

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José Edison da Silva Cavalcante

José Edison da Silva Cavalcante

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  10.33425/2692-7918.1116
Cervical artery dissection and patent foramen ovale (PFO) are relevant causes of ischemic stroke (IS) in young adults. We report the case of a 35-year-old previously healthy man who presented with severe vertigo, gait ataxia, and bradycardia, later diagnosed with cerebellar infarction secondary to bilateral vertebral artery dissection. Further investigation revealed the presence of a PFO. This case underscores the importance of thorough etiological investigation of IS in young adults, focusing on the identification of cervical artery dissections and structural cardiac abnormalities as risk factors.
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