Stroke in young adults

Some aspects in the differential diagnosis of ischemic stroke in young adults will be illustrated. We present a 45 years old female with acute onset of brainstem symptoms. One week before onset of symptoms the patient had an accident when downhill skiing. She hit a stick with her right neck. The patient suffered a right vertebral artery dissection and several small ischemic infarctions in both cerebellar hemispheres. She regained full functional recovery without residual symptoms.