A case of vestibular and oculomotor pathology from bilateral AICA watershed infarcts treated with basilar artery stenting
| Autor: | Kenneth Fraser, Arun Talkad, David Z. Wang, Deepak Nair, Jorge C. Kattah |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Cerebellum
medicine.medical_specialty Ataxia medicine.medical_treatment Neurosurgical Procedures Nystagmus Pathologic Dysarthria medicine.artery Angioplasty Internal medicine Oculomotor Nerve Diseases Supine Position medicine Basilar artery Humans Gait Disorders Neurologic Aged business.industry Angiography Digital Subtraction Cerebral Infarction Reflex Vestibulo-Ocular General Medicine medicine.disease Magnetic Resonance Imaging Stroke Stenosis Diffusion Magnetic Resonance Imaging medicine.anatomical_structure Vestibular Diseases Basilar Artery cardiovascular system Cardiology Female Stents Surgery Neurology (clinical) Radiology Brainstem medicine.symptom business Artery |
| Zdroj: | Clinical Neurology and Neurosurgery. 115:1098-1101 |
| ISSN: | 0303-8467 |
| DOI: | 10.1016/j.clineuro.2012.08.017 |
| Popis: | Bilateral AICA infarcts may be the result of impaired arterial flow in watershed territories that overlap with PICA and SCA brainstem/cerebellar circulation among patients with critical basilar artery stenosis (1-3). We report one such patient with watershed bilateral AICA infarcts. She had a two-week history of progressive truncal ataxia, frequent falls, dysarthria and episodic vomiting. Examination suggested brainstem/cerebellar localization. She had bilateral symmetric infarcts of the cerebellar flocculus and middle cerebellar peduncles (MCP) due to tandem proximal and mid-basilar artery (BA) stenosis. Failure to improve on maximal medical therapy led to BA angioplasty/ stenting, with improved brainstem/cerebellum circulation and neurologic deficits. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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