PICA infarct with hydrocephalus

Case contributed by A.Prof Frank Gaillard

Presentation

Incoordination and unsteadiness for 48 hours. Now drowsy.

Patient Data

Age: 40 years

A large established infarct involves the left cerebellar hemisphere in the PICA territory. There is significant mass effect with effacement of the fourth ventricle and resultant hydrocephalus. 

Case Discussion

A large acute PICA territory infarct resulted in hydrocephalus. The patient went on to have a decompressive craniectomy and resection of the infarct to alleviate compression. 

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Case information

rID: 5275
Case created: 29th Dec 2008
Last edited: 19th Mar 2018
Inclusion in quiz mode: Included

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