Superior cerebellar artery infarct

Case contributed by Craig Hacking
Diagnosis certain


Fluctuating GCS. Inward gaze.

Patient Data

Age: 80 years
Gender: Female

Hypodensity in the superior and medial aspects of the left cerebellar hemisphere. Medially the hypodensity respects the midline.

Elsewhere there is chronic microvascular ischemic disease.

No dense vessel sign seen.

CT angiogram


Abrupt cut off of the proximal left superior cerebellar artery in keeping with acute thrombosis.

Case Discussion

Great example of the arterial distribution of the superior cerebellar artery.

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