Recurrent Ischemic Strokes in the Territory of Recurrent Artery of Heubner Presenting in Relation to Facial Swelling and Weakness

Strokes involving the Recurrent Artery of Huebner are quite rare and often asymptomatic. Here, we describe a case recurrent infarctions right Heubner, likely due to small vessel disease. Our 32-year-old patient presented emergency department with sudden onset right-sided facial weakness, numbness, difficulty eye closure. A non-contrast head computed tomography scan magnetic resonance imaging revealed an incidental subacute infarct in territory Heubner. He was discharged on valacyclovir prednisone for suspected Bell’s palsy, as well aspirin, atorvastatin, metformin, antihypertensives secondary stroke prevention. Unfortunately, he noncompliant medications lost follow-up until again more than one year later complaint isolated swelling ipsilateral weakness. Imaging new Close guidelines appropriate management risk factors discussed.