Cerebellar and Posterior Cerebral Artery Infarctions - Case 1

A 66 year-old woman developed the abrupt onset of difficultly seeing on the left side along with vertigo, nausea, vomiting and a sense of falling to the left.


Outline the Infarctions  

Cerebellar and Posterior Cerebral Artery Infarctions: (Top) Flair axial MRIs; (Bottom) Diffusion-weighted MRIs. Note the acute infarctions in the left cerebellum and right occipital/medial temporal lobe. This picture is consistent with either: 1) an embolus to the posterior circulation or 2) a left vertebral occlusion (resulting in the cerebellar strokes with a subsequent artery-to-artery embolus to the right posterior cerebral artery). In this case, the etiology was found to be cardioembolic due to a patent foramen ovale.

Revised 11/23/06
Copyrighted 2006. David C Preston