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Posterior inferior cerebellar arterial infarct

Case contributed by Yahya Baba
Diagnosis probable

Presentation

Present with left cerebellar ataxia.

Patient Data

Age: 50 years
Gender: Male
  • 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.

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