CASE REPORT.

The article presents a case study of a 49-year-old woman with severe hypertension and a history of factor V Leiden mutation who developed left-side hemiparesis and facial droop due to bilateral vertebral artery occlusions. Topics discussed include the challenges in diagnosing and managing posterior circulation strokes, and the need for a patient-specific treatment approach, considering factors such as multifocal disease and the potential role of endovascular therapy.