Multiple Brainstem and Cerebellar Infarctions

A 82 year old woman developed the acute onset of bilateral ataxia, slurred speech, and left sided numbness.

Show the Acute Diffusion Abnormalities

MRI Diffusion-weighted image. Note the high signals indicating acute infarctions in numerous areas: bilateral cerebellar, pons, right thalamus, and right occipital lobe. MRA demonstrated normal vertebral and basilar arteries. Presumably, these strokes occurred from an embolus to the basilar artery from the heart or aorta.

Revised 05/10/06.
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