ABPN Vascular Neurology case studies
ABPN Vascular Neurology · Put your knowledge to work in context.
Vascular Neurology is a subspecialty certification administered by the American Board of Psychiatry and Neurology (ABPN) for neurologists who want formal recognition of expertise in cerebrovascular disease; candidates typically come from neurology residency plus stroke/vascular fellowship training. This page is an independent study resource and is not affiliated with, endorsed by, or sponsored by the ABPN - always confirm application, fee, and scheduling details directly with the Board. The ABPN Vascular Neurology case studies are 5 cases and about 4,336 words.
1Positional Transient Events in a Patient With a Chronically Occluded Internal Carotid Artery
A 68-year-old right-handed man with a left internal carotid artery occlusion documented 8 months ago presents with three episodes in 48 hours of right hand clumsiness and slowed speech. Each lasts 5–10 minutes and resolves completely.
896 words, about 4 min2Late-Window Large Vessel Occlusion in a Patient Who Recently Took a Factor Xa Inhibitor
A 74-year-old woman with atrial fibrillation on apixaban, last dose 10 hours ago, is found on the floor at 6:00 a.m. by her daughter; she was seen normal at 10:00 p.m.
825 words, about 4 min3Deep Ganglionic Hemorrhage on a Factor Xa Inhibitor With a Distressed Family
A 71-year-old man with atrial fibrillation, prior myocardial infarction, and hypertension is brought in after sudden left-sided weakness and rightward gaze deviation. He took apixaban 5 mg twice daily, with the last dose about 5 hours before symptom onset, and has continued aspirin 81 mg daily since his myocardial infarction.
823 words, about 4 min4Postpartum Cortical Vein Thrombosis With Hemorrhagic Infarction
A 29-year-old woman, 10 days postpartum, has had a worsening bifrontal headache for 5 days, worse lying flat and with coughing. She is breastfeeding and used combined oral contraceptives before pregnancy.
843 words, about 4 min5Malignant Middle Cerebral Artery Infarction With Early Herniation and a Family in Crisis
A 58-year-old right-handed man had a left M1 occlusion with an ASPECTS of 6 and an NIHSS of 19 at presentation 6 hours after onset. He underwent thrombectomy with TICI 2b reperfusion at 8 hours.
949 words, about 5 min