Posterior inferior cerebellar artery infarct

Case contributed by Dr Hidayatullah Hamidi


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

Patient Data

Age: 45 years
Gender: Female

T2WI and FLAIR hyperintense, T1WI  hypointense signals with diffusion restriction in the left posterior Inferior cerebellar artery (PICA) territory (postero-inferior 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 can result from occlusion of Posterior inferior cerebellar artery. 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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Case information

rID: 50889
Published: 11th Feb 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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