{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:11:09Z","timestamp":1757452269122,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,26]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>A 19-year-old man was admitted with a 2-week history of continuous cough along with a day history of acute onset unsteadiness and hiccups. Given the current pandemic, he was initially suspected to have COVID-19, however he tested negative on two occasions. Subsequent brain magnetic resonance imaging (MRI)confirmed a small left acute and subacute lateral medullary infarction with chest X-ray suggesting aspiration pneumonia with right lower lobe collapse. This is a distinctive case of posterior circulation stroke presenting with a new continuous cough in this era of COVID-19 pandemic. We anticipate based on MRI findings that his persistent cough was likely due to silent aspiration from dysphagia because of the subacute medullary infarction. It is therefore imperative that healthcare workers evaluate people who present with new continuous cough thoroughly to exclude any other sinister pathology. We should also be familiar with the possible presentations of posterior circulation stroke in this pandemic era.<\/jats:p>","DOI":"10.1136\/bcr-2020-240270","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T19:02:14Z","timestamp":1610478134000},"page":"e240270","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Posterior circulation stroke presenting as a new continuous cough: not always COVID-19"],"prefix":"10.1136","volume":"14","author":[{"given":"Mazhar","family":"Warraich","sequence":"first","affiliation":[{"name":"Stroke Medicine, New Cross Hospital, Wolverhampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Bolaji","sequence":"additional","affiliation":[{"name":"Stroke Medicine, New Cross Hospital, Wolverhampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saugata","family":"Das","sequence":"additional","affiliation":[{"name":"Stroke Medicine, New Cross Hospital, Wolverhampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"2025082700230736000_14.1.e240270.1","article-title":"Neurological complications of coronavirus disease (COVID-19): encephalopathy","volume":"12","author":"Filatov","year":"2020","journal-title":"Cureus"},{"key":"2025082700230736000_14.1.e240270.2","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2015-213817","article-title":"Dysphagia and aspiration as the only manifestations of a stroke","volume":"2016","author":"Garc\u00eda Carretero","year":"2016","journal-title":"BMJ Case Rep"},{"key":"2025082700230736000_14.1.e240270.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g3175"},{"key":"2025082700230736000_14.1.e240270.4","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0967-5868(03)00139-5","article-title":"A patient with Wallenberg's syndrome induced by severe cough","volume":"11","author":"Nomura","year":"2004","journal-title":"J Clin Neurosci"},{"key":"2025082700230736000_14.1.e240270.5","doi-asserted-by":"crossref","first-page":"207","DOI":"10.2174\/1573405613666170403102235","article-title":"Craniocervical dissections: radiologic findings, pitfalls, mimicking diseases: a pictorial review","volume":"14","author":"Mehdi","year":"2018","journal-title":"Curr Med Imaging Rev"},{"key":"2025082700230736000_14.1.e240270.6","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4893"},{"key":"2025082700230736000_14.1.e240270.7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1313600"},{"key":"2025082700230736000_14.1.e240270.8","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awg197"},{"key":"2025082700230736000_14.1.e240270.9","doi-asserted-by":"crossref","first-page":"341","DOI":"10.4103\/0253-7176.135397","article-title":"Persistent hiccups (singultus) as the presenting symptom of lateral medullary syndrome","volume":"36","author":"Sampath","year":"2014","journal-title":"Indian J Psychol Med"},{"key":"2025082700230736000_14.1.e240270.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8627(02)00012-3"},{"key":"2025082700230736000_14.1.e240270.11","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.66.1.5"},{"key":"2025082700230736000_14.1.e240270.12","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-236820","article-title":"Extensive cerebral venous sinus thrombosis: a potential complication in a patient with COVID-19 disease","volume":"13","author":"Bolaji","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082700230736000_14.1.e240270.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m3325"},{"key":"2025082700230736000_14.1.e240270.14","doi-asserted-by":"publisher","DOI":"10.1002\/path.1570"},{"key":"2025082700230736000_14.1.e240270.15","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(20)30272-6"},{"key":"2025082700230736000_14.1.e240270.16","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.jocn.2020.07.032","article-title":"Cerebral nervous system vasculitis in a Covid-19 patient with pneumonia","volume":"79","author":"Vaschetto","year":"2020","journal-title":"J Clin Neurosci"},{"key":"2025082700230736000_14.1.e240270.17","article-title":"A prospective study of neurologic disorders in hospitalized COVID-19 patients in New York City","author":"Frontera","year":"2020","journal-title":"Neurology"},{"key":"2025082700230736000_14.1.e240270.18","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2020-323586"},{"key":"2025082700230736000_14.1.e240270.19","doi-asserted-by":"crossref","first-page":"m2516","DOI":"10.1136\/bmj.m2516","article-title":"Diagnostic accuracy of serological tests for covid-19: systematic review and meta-analysis","volume":"24","author":"Lisboa Bastos","year":"2020","journal-title":"BMJ"},{"key":"2025082700230736000_14.1.e240270.20","doi-asserted-by":"crossref","first-page":"502","DOI":"10.7162\/S1809-97772012000400012","article-title":"Pharyngeal swallowing phase and chronic cough","volume":"16","author":"Costa","year":"2013","journal-title":"Int Arch Otorhinolaryngol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:23:16Z","timestamp":1756279396000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,11]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-240270"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240270","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}