Cerebellar ischemic disorder. Presentation of three cases
Abstract
Cerebellar infarction is rare and has clinical features that can be confused with vertiginous syndrome of peripheral origin. We present three cases treated at the Hospital Universitario San José of Popayán (HUSJ). The dominant clinical symptoms were labyrinthine and ataxic disorder. The third case showed severe left cerebellar infarction. To emphasize the importance of knowing the anatomy of cerebellar blood circulation, the etiology of this specific type of stroke, clinical findings and diagnostic tools currently used, as well as possible complications and appropriate treatment. Neuroimaging is the essential complement to the clinical diagnosis. We conclude that cerebellar infarction symptoms, including dizziness, ataxia and commitment of cranial nerve, according to the vascular territory that compromises the cerebellum.Downloads
References
Nelson JA, Viirre E. The Clinical Differentiation of cerebellar infarction from common vértigo Syndromes. West J Emerg Med. 2009; 10 (4):273-277.
Zaidat OO, Lerner AJ. El pequeño libro negro de Neurología. Madrid: Editorial Elsevier; 2003.
Cano LM, Cardona P, Quesada H, Mora P, Rubio F. Infarto cerebeloso: pronóstico y complicaciones de sus territorios vasculares. Rev. Neurología. 2012; 27(6):330-335.
Wijdicks EF, Sheth KN, Carter BS, Greer DM, Kasner SE, Kimberly WT, et al. American Heart Association Stroke Council.Recommendations for the management of cerebral and cerebellar infarction withswelling: a statement for healthcare professionals from the American HeartAssociation/American Stroke Association. Rev. Stroke. 2014 Apr; 45(4):1222-38.
Datar S, Rabinstein AA. Cerebellar infarction. Neurol Clin. 2014 Nov;32(4):979-91
Kase CS, Norrving B, Levine SR, Babikian VL, Chodosh EH, Wolf PA et al. Cerebellar infarction. Clinical and anatomic observations in 66 cases. Stroke. 1993; 24:76-83
Kumral E, Kisabay A, Atac¸ C. Lesion patterns and etiology of ischemia in superior cerebellar artery territory infarcts: A diffusion magnetic resonance imaging study. Cerebrovascular disease. 2005; 19:283-90.
Shetty SR, Anusha RL, Thomas PS, Babu SG. Wallenberg's syndrome. J Neurosci Rural Pract. 2012; 3(1): 100-102.
Amarenco P, Rosengart A, DeWitt LD, Pessin MS, Caplan LR. Anterior inferior cerebellar artery territory infarcts. Mechanisms and clinical features. Arch Neurol. 1993; 50: 154-61.
Palma R, Mellado P. Infarto Pseudotumoral del cerebelo. Cuad Neurol Chile. 2002; 26: 102-117.
Pearson AC, Nagelhout D, Castello R. Atrial Septal Aneurysm and Stroke: a transesophageal echocardiographic study. J AM Coll Cardiol. 1991; 18(1): 223-1.229.
Kim HA, Lee H, Sohn SI, Yi HA, Cho YW, Lee SR, et al. Bilateral infarcts in the territory of the superior cerebellar artery: clinical presentation. J Neurol Sci. 2006;246(1-2):103-9
Blacker DJ. In-hospital stroke. Lancet Neurol. 2003; 2:741-746.
Alonso de Leciñana M, Egido JA, Casado I, Ribó M, Dávalos A, Masjuan J et al. Guía para el tratamiento del infarto cerebral agudo. Neurología. 2014; 29: 102-22
Ning M, Gonzalez G. A 69-Year-Old Man with Dizziness and Vomiting. N Engl J Med. 2013; 369:1736-1748
Hyung L, Ji-Soo K, Eun-Ji C, Hyon-Ah Y, In-Sung C, Seong- Ryong L, et al. Infarction in the territory of anterior inferior cerebellar artery: Spectrum of audiovestibular loss. Stroke. 2009;40:3745-51.
Serena J, Fabregas JM, Santamarina E, Rodriguez JJ. Ictus recurrente y comunicación derecha izquierda masiva: resultados del estudio prospective multicéntrico español. Stroke. 2008;39:(3).131-136.
Edlow JA, Newman-Toker DE, Savitz SI. Diagnosis and inicial management of cerebellar infarction. Lancet Neurol. 2008;7:951-64.
Snell RS. Neuroanatomía clínica. 6 Ed. Bogotá: Panamericana, 2007
Copyright (c) 2020 Universidad del Cauca
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
.png)
