We describe a rare case of a 69-year-old male who developed a hemorrhagic transformation of a posterior fossa ischemia after the initiation of antithrombotic therapy for the management of blunt vertebral artery injury (BVAI). To the best of our knowledge, this is the first reported case in the literature so far. Thus, we present our diagnostic approach, its associated treatment challenges, and its overall outcome.
Keywords: Blunt vertebral artery injury (BVAI); hemorrhage; ischemic stroke; suboccipital craniectomy.