Ann Geriatr Med Res.  2018 Jun;22(2):102-104. 10.4235/agmr.2018.22.2.102.

Posterior Inferior Cerebellar Artery Aneurysm, Mimicking Lateral Medullary Infarction: A Case Report

Affiliations
  • 1Department of Neurology, Munsung Hospital, Daegu, Korea. ego0001@naver.com
  • 2Department of Nursing, Suseong University, Daegu, Korea.

Abstract

Posterior inferior cerebellar artery (PICA) aneurysm is relatively rare. We report on a 74-year-old woman presenting with dizziness and right-side tilted gait caused by a rightside distal PICA aneurysm, which mimicked a right lateral medullary infarction. A neurological examination showed right-side limb ataxia and left-beating torsional nystagmus, similar to a right lateral medullary infarction. Magnetic resonance imaging revealed a distal PICA aneurysm in the right-side middle cerebellar peduncle region.

Keyword

Aneurysm; Posterior inferior cerebellar artery; Lateral medullary infarction

MeSH Terms

Aged
Aneurysm*
Arteries*
Ataxia
Dizziness
Female
Gait
Humans
Infarction*
Magnetic Resonance Imaging
Middle Cerebellar Peduncle
Neurologic Examination
Pica
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