Posterior inferior cerebellar artery infarct

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Previously healthy lady presented with headache, vomiting and vertigo for last 3 days

Patient Data

Age: 45 years
Gender: Female
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

T2WI and FLAIR hyperintense, T1WI hypointense signals with diffusion restriction in the left posterior Inferior cerebellar artery (PICA) territory (posteroinferior aspect of left cerebellar hemisphere, left inferior cerebellar vermis and left side of medulla oblongata).

Time of flight MRA: Non visualization of left vertebral artery, left anterior spinal artery, left posterior inferior cerebellar artery representing complete obstruction/thrombosis.

Case Discussion

Infarct of posterior inferior cerebellum, inferior cerebellar vermis and lateral medulla may result from occlusion of posterior inferior cerebellar artery (PICA). MRI is the modality of choice for confirming the infarction and evaluation of the vessels.

Case submitted by Dr Hidayatullah Hamidi and Dr Najibullah Rasouly.

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