Symptoms in hurry, Investigations blurry: A Case of MRI-negative Posterior Circulation Cerebral Stroke

Abstract

Posterior Circulation Cerebral strokes account for 20% of acute ischemic strokes(1). There have
been reports citing that the diagnostic studies can remain insignificant for a much longer time (72
hours in our case), even if the patient is showing signs and symptoms of acute stroke. We report
a case of a 58-year-old male, who had clear clinical features concerning acute stroke but had no
positive diagnostic study on presentation to prove. His clinical presentation included difficulty in
walking along with vertigo. Through this case report, we want to send out a message that clinical
judgment should not be disregarded even if laboratory investigations and diagnostic scans don’t
point to any significant abnormality especially in cases of acute stroke.