Vermian infarct

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Headaches with nausea/vomiting and dizziness.

Patient Data

Age: 55 years
Gender: Male
mri
This study is a stack
Axial
DWI
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Axial
ADC
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Coronal
T2
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Sagittal
T1
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Axial
FLAIR
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Axial
FLAIR
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MRA
3D-TOF
This study is a stack
MRA
3D-TOF
This study is a stack
MRA source
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Info

Areas of low signal on T1, high T2 and FLAIR with restricted diffusion involving mainly the superior vermis (superior cerebellar artery territory) more on the left. No hemorrhagic component was seen on the GE sequence. No evidence of arterial occlusion on the MRA 3D-TOF.

Moderate cerebral volume loss.

Case Discussion

MRI features of acute vermian infarct in the superior cerebellar artery territory.

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