Cerebellar infarction

Case contributed by Dr Mauricio Macagnan

Presentation

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

Patient Data

Age: 91
Gender: Male

MRI Brain

Modality: 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. Including 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 ischaemic lesion mainly located in the left AICA vascular territory, was treated conservatively.

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Case Information

rID: 45051
Case created: 12th May 2016
Last edited: 3rd Jun 2016
Inclusion in quiz mode: Included

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