J Korean Soc Emerg Med.  2015 Jun;26(3):259-262. 10.0000/jksem.2015.26.3.259.

A Case of Cerebella Infarction Caused by Cervical Meningioma

• Kim SK
• Kim J
• Kim JY
• Choi JY
• Jo YS

• KMID: 2334028
• DOI: http://doi.org/10.0000/jksem.2015.26.3.259

Abstract

Mechanisms and causes of cerebral infarction, usually two mechanisms, are identified: hemodynamics and thrombotic or thromboembolic causes. Compressive causes by tumor are not reported in the main etiological classifications as Trial of Org10172 in Acute Stroke Treatment (TOAST) classification and ASCO (atherosclerosis, small vessel disease, cardiac source, and other causes). However tumors found in these locations often involve an intracranial portion of the internal carotid artery (ICA) and may compromise cerebral blood flow. Cerebral infarction related to meningioma, the common extra-axial brain tumor in adults, has been rarely reported. We experienced an extremely rare case of cerebellar infarction resulting from direct compression of the vertebral artery by cervical meningioma. To the best of our knowledge, there are no documented cases of a meningioma causing stroke by vertebral artery occlusion. We report on a case of meningioma presenting with cerebellar infarction as a result of vertebral artery compression.

Keyword

Cerebellum; Cerebral infarction; Stroke; Vertigo; Meningioma

MeSH Terms

Adult
Brain Neoplasms
Carotid Artery, Internal
Cerebellum
Cerebral Infarction
Classification
Heart Diseases
Hemodynamics
Humans
Infarction*
Meningioma*
Stroke
Vertebral Artery
Vertigo