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Cerebellar infarction - AICA territory

Case contributed by Mauricio Macagnan
Diagnosis almost certain

Presentation

Patient with nausea, vomiting, dizziness, and headache. No trauma.

Patient Data

Age: 90 years
Gender: Male

MRI Brain

mri

Signal hyperintensity area on T2-weighted sequences and restriction following on DWI, affecting the left cerebellar hemisphere ipsilateral cerebellar peduncle and medium without significant related mass effect.

Case Discussion

Cerebellar ischemic injury can cause dizziness or vertigo, nausea, hearing loss, unsteadiness, weakness, tinnitus, difficulty walking and other symptoms. Vision may be blurred and can also affect the coordination of movements.

Treatment depends on the nature and severity of symptoms, often passing by a multidisciplinary evaluation.

In this case, the ischemic lesion mainly located in the left AICA vascular territory, was treated conservatively.

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