PICA infarct

Case contributed by A.Prof Frank Gaillard

Presentation

Acute vertigo and unsteadiness.

Patient Data

Age: 80 years
Gender: Male

CT brain

Modality: CT

Subtle low density is seen involving the medial and inferior aspect of the left cerebellar hemisphere, suggestive of an early PICA territory infarct.

DWI

Modality: MRI

Acute restricted diffusion is demonstrated in the left PICA territory in keeping with an infarct. There is only minor swelling, no evidence of effacement of the fourth ventricle and no hydrocephalus. No other regions of restricted diffusion.    

Case Discussion

Typical appearances of a PICA territory infarct hi-lighting how subtle early infarction can be in the posterior fossa. 

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Case Information

rID: 22185
Case created: 18th Mar 2013
Last edited: 29th Nov 2016
Inclusion in quiz mode: Included

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