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A 62 year old woman presented with vertigo, nausea and vomiting. Examination showed right sided ataxia, slurred speech, and nystagmus.
Axial Flair MRI shows high signal in the inferior cerebellum, in the distribution of the posterior inferior cerebellar artery (PICA). Note the swelling and compression of the cerebellum on the fourth ventricle. Strokes in this location can be very serious and result in death if brainstem compression occurs or if the fourth ventricle is occluded and hydrocephalus develops.
Revised
04/21/06.
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School of Medicine.