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Case Reports
. 1997 Jul;37(7):538-41.
doi: 10.2176/nmc.37.538.

Cerebellar infarction with hydrocephalus caused by spontaneous extracranial vertebral artery dissection--case report

M Sagoh  1 , Y Hirose, H Murakami, M Katayama, K Akaji, K Mayanagi
Affiliations
Free article
Case Reports

Cerebellar infarction with hydrocephalus caused by spontaneous extracranial vertebral artery dissection--case report

M Sagoh et al. Neurol Med Chir (Tokyo). 1997 Jul.
Free article

Abstract

A 38-year-old male suffered sudden onset of rotational vertigo without headache. Consciousness disturbance developed on the 3rd day after the onset. Computed tomography showed cerebellar infarction with obstructive hydrocephalus. External ventricular drainage was performed. Angiography showed bilateral extracranial vertebral artery dissection. Antiplatelet therapy was given. Repeat angiography showed improvement of the dissection. His neurological deficits completely resolved. Vertebral artery dissections may cause both lateral medullary or cerebellar infarction and hydrocephalus due to the cerebellar infarction manifesting as various symptoms so careful evaluation and treatment are required.

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