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Inferior Cerebellar Infarction - Case 3

A 53 year old man presented with vertigo, nausea and vomiting. Two later, he became drowsy with grasping respirations.

Outline the Infarction     Show the Brainstem Compression

Axial Flair MRI shows high signal in the right inferior cerebellum, in the distribution of the posterior inferior cerebellar artery (PICA). Also note that there is compression of the adjacent brainstem and fourth ventricle. Either brainstem compression or acute hydrocephalus can result in sudden deterioration and if not recognized and treated, quickly results in death.

Revised 04/21/06.
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