J Korean Neurol Assoc.  1993 Jun;11(2):164-174.

Creabellar Infarction: A Clinicoradiologic Correlation of 27 Cases

• Cho SG
• Oh GS
• Chung JJ
• Ahn MY
• Shin HG
• Lee KH
• Kim DH

Abstract

We reviewed 27 patients wlth cerebellar infarction which was demonstrated by brain CT and/or MRI. Infarction occurred in the territory of posterior inferior cerebellar artery (PICAj in 16 patients, and the territory of the superior cerebellar artery(SCA) was involved in 5 patients. Antenor inferior cerebellar artery(AICA) infarcts occurred in 3 patients. Both PICA and SCA temtories were involved in 2 patients. In the remaining 1 patient, the infarct encompassed the borderzone between the SCA and PICA territories. The main symptoms and signs were sudden onset of vertigo, dizziness, nausea, vomiting, dysmetria, ataxia, nystagmus, and headache. There were signs of associated brain stem infarction or occipitotemporal infarction; rostral basilar artery syndrome, classic SCA syndrome, Wallenberg syndrome, internuclear ophthalmoplegia, facial palsy, hearing impairment. Presumed cerebral embolism was the main stroke mechanism in the SCA terntories. Six patients with brainstem compression or brainstem involvement showed consciousness deterioration, and only one of them died as a result of extensive cerebellar infarctions involving both SCA and PICA territories Cerebellar infarction may run a more benign course than previously thought.

MeSH Terms

Arteries
Ataxia
Basilar Artery
Brain
Brain Stem
Brain Stem Infarctions
Cerebellar Ataxia
Consciousness
Dizziness
Facial Paralysis
Headache
Hearing Loss
Humans
Infarction*
Intracranial Embolism
Lateral Medullary Syndrome
Magnetic Resonance Imaging
Nausea
Ocular Motility Disorders
Pica
Stroke
Vertigo
Vomiting