Infarcts presenting with a combination of medial medullary and
posterior inferior cerebellar artery syndromes
- Affiliated Author(s)
- 이형; 백승국
- Alternative Author(s)
- Lee, Hyung; Baik, Seung Kug
- Journal Title
- Journal of the Neurological Sciences
- ISSN
- 0022-510X
- Issued Date
- 2004
- Keyword
- Combination; Medial medullary; Posterior inferior cerebellar artery
- Abstract
- Cerebellar and medial medullary infarctions are well-known vertebrobasilar stroke syndromes. However, their development in a patient with distal vertebral artery occlusion has not been previously reported. A 49-year-old man with longstanding hypertension suddenly developed vertigo, right-sided Horner syndrome, and left-sided weakness. An MRI of the brain showed acute infarcts in the right inferior cerebellum (posterior inferior cerebellar artery territory) and the right upper medial medulla (direct penetrating branches of vertebral artery). Magnetic resonance angiogram showed occlusion of the distal vertebral artery on the right side. Atherothrombotic occlusion of the distal vertebral artery may cause this unusual combination of vertebrobasilar stroke.
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