Vascular Territory + Symptom

Symptom Structure
and PCA → Thalamus
Contralateral PCA → Occipital lobe
PCA or BA→ CBT
PCA → Midbrain (think CN III, IV)
PCA → Midbrain and BA → Pons
BA → Pons (think abducens nuclei)
BA → Pons (vestibular)
Contralateral or bilateral weakness CST
Alternating sign (Face is opposite of body for sensory and motor) CST, CBT
Cerebellum
Cerebellum

*No Dysphasia → Anterior circulation problem

*Infra-tentorial lesions are often associated with CN signs or palsies

*Symptom can be bilateral due to the single BA vessel and small area of supply

*Due to the small resolution of the BS on CT, infarct may be better visualized by MRI

CN signs

CN signs

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Posterior circulation: hard to see on CT → Often need Brain MRI / FLAIR

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