Superior cerebellar artery infarct

Case contributed by Zemar Vajuhudeen


Presenting with acute confusion with reduced GCS

Patient Data

Age: 95 years
Gender: Female

Encephalomalacic changes of the left superior cerebellar artery territory are noted, likely secondary to old infarct. 

Diffuse cerebral atrophic change noted, with relative prominence of the cerebral sulci and ventricles.
Hypoattenuation of the periventricular and subcortical white matter regions bilaterally is likely suggestive of chronic small vessel ischemic disease.

No acute intra-axial or extra-axial hemorrhage identified. No midline shift or significant mass effect. 

Case Discussion

A great example of the vascular territory of the superior cerebellar artery, and the encephalomalacic changes that occur following a longstanding infarct to that territory.

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