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Vertebral artery stenting in a patient with reversed flow in the anterior spinal artery
  1. Jordan Dubow1,
  2. Howard Riina2,
  3. Athos Patsalides2
  1. 1Department of Neurology and Neurosciences, Weill Cornell Medical College, NewYork, USA
  2. 2Departments of Neurosurgery and Radiology, Weill Cornell Medical College, NewYork, USA
  1. Correspondence to Dr Jordan Dubow, Department of Neurology and Neurosciences, Weil Cornell Medical College, 525 East 68th Street, F610, NY 10065, New York, USA; jsd9001{at}


We present neuroimages for a patient in a locked-in state with reversed flow in the anterior spinal artery as a result of bilateral distal vertebral artery occlusion. Following vertebral artery stenting, there is markedly improved flow in the posterior circulation and significant neurological recovery.

  • All cerebrovascular disease/stroke
  • all imaging
  • artery
  • atherosclerosis
  • brainstem infarction
  • stent
  • stroke

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.