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Acute Bilateral Cerebellar Infarction in the Territory of the Medial Branches of Posterior Inferior Cerebellar Arteries
Stroke 25:686-688, Yoshimasa,T.,et al, 1994
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Article Abstract
Cranial magnetic resonance imaging revealed abnormalities consistent with fairly symmetrical bilateral cerebellar hemorrhagic infarction that was confined to the territory of the medial branches of the posterior inferior cerebellar arteries,in addition to minimal high-intensity areas in the pons on T2-weighted images.The patient improved with conservative therapy, including intravenous administration of glycerol.We speculate that our patient likely had initial transient occlusion of the right vertebral artery at the origin of the right posterior inferior cerebellar artery, which probably gave rise to the bilateral medial branches of posterior inferior cerebellar arteries.This caused infarction in the territory of the medial branches on both sides without remaining brain stem signs.Such an unusual pattern of cerebellar infarction accompanied by acute hydrocephalus posed a diagnostic challenge at the time of transfer to our care,and correct diagnosis was facilitated by cranial magnetic resonance imaging.
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cerebellar infarction
cerebellar infarction,bilateral
cerebral infarction,hemorrhagic
cerebrovascular accident
cerebrovascular accident,bilateral
hydrocephalus
MRI
MRI,abnormal
posterior inferior cerebellar artery syndrome
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