Presentation
Present with left cerebellar ataxia.
Patient Data
Age: 50 years
Gender: Male
From the case:
Posterior inferior cerebellar arterial infarct


















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there are ill-defined T2 hyperintensities with diffusion restriction involving the cortex and the subcortical white matter of the left and right cerebellar hemispheres, in the territory of the posterior inferior cerebellar arteries (PICA)
wedge-shaped enhancement after Gadolinium injection
there is no obvious stenosis or occlusion of the posterior inferior cerebellar arteries
Case Discussion
Features of a bilateral posterior inferior cerebellar acute infarction with no obvious arterial abnormality on MRA.