Funny turns in Young badminton player: A case of cerebellar infarction secondary to vertebral artery dissection

Spontaneous vertebral artery dissection is a rare cause of cerebellar infarction. Common presentations of cerebellar artery infarction are dizziness and ataxia. We are reporting a case of a 31-year-old male who presented with acute onset dizziness while playing badminton, who was diagnosed as cerebellar vermis infarction secondary to vertebral artery dissection.

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Republished: Delayed subarachnoid hemorrhage 7 years after cerebellar infarction from traumatic vertebral artery dissection

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2016-012507.rep ◽

2016 ◽

Vol 9 (4) ◽

pp. e9-e9

Author(s):

Michael A Silva ◽

Alfred P See ◽

Priyank Khandelwal ◽

Nirav J Patel ◽

Mohammad Ali Aziz-Sultan

Keyword(s):

Subarachnoid Hemorrhage ◽

Vertebral Artery ◽

Posterior Inferior Cerebellar Artery ◽

Vertebral Artery Dissection ◽

Artery Dissection ◽

Cerebellar Infarction ◽

Radiographic Evidence ◽

Vessel Injury ◽

Cerebellar Artery ◽

The Right

Vertebral artery dissection (VAD) is an important cause of ischemic stroke and subarachnoid hemorrhage (SAH). Dissections presenting with ischemia rarely cause SAH after more than a few hours, especially without radiographic evidence of pseudoaneurysm. We successfully treated a patient for persistent vessel injury presenting with SAH 7 years after presenting with extracranial subocclusive dissection of the right vertebral artery and an associated right posterior inferior cerebellar artery stroke. This is one of only three reported cases of delayed SAH occurring more than 2 weeks after an initial ischemic presentation of a VAD, and the only one without radiographic evidence of pseudoaneurysm at standard follow-up duration.

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Sudden unilateral hearing loss and vertigo due to posterior inferior cerebellar artery territorial hypo perfusion by vertebral artery dissection

Journal of the Neurological Sciences ◽

10.1016/j.jns.2021.118494 ◽

2021 ◽

Vol 429 ◽

pp. 118494

Author(s):

Hak Seung Lee

Keyword(s):

Hearing Loss ◽

Vertebral Artery ◽

Posterior Inferior Cerebellar Artery ◽

Vertebral Artery Dissection ◽

Artery Dissection ◽

Unilateral Hearing Loss ◽

Cerebellar Artery

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Cerebellar infarction after sneezing

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.66.10.1351 ◽

2020 ◽

Vol 66 (10) ◽

pp. 1351-1354

Author(s):

Gustavo Bittencourt Camilo ◽

Marco Antônio Riccio ◽

Anna Luíza Machado Nogueira ◽

Amanda Campos Querubino ◽

Ana Luísa dos Santos Maciel ◽

...

Keyword(s):

Vertebral Artery ◽

Lumbar Disc ◽

Vertebral Artery Dissection ◽

Rare Condition ◽

Artery Dissection ◽

Cerebellar Infarction ◽

Herniated Lumbar Disc ◽

Angio Ct ◽

Magnetic Resonance Imaging Mri ◽

The Right

SUMMARY Vertebral Artery Dissection (VAD) is a rare condition that can be caused by a wide amplitude of neck movement, which injures the vessel wall and can cause ischemia in the cerebellum. We present a 37-year-old man with herniated lumbar disc and allergic rhinosinusitis, which caused sneezing spells. After one of these bouts with a ricochet of the head, he presented C3 misalignment with local pain. Twenty-one days later, affected by a new crisis, he presented left temporal headache, nystagmus, and vertigo. After 3 days, Magnetic Resonance Imaging (MRI) identified 2 regions of cerebellar ischemia and filling failure of the right vertebral artery. After 2 days, Computed Angiotomography (CT Angiography) was performed and showed right VAD with a local thrombus, without aneurysmal signs. Transcranial Doppler did not indicate an increase in blood flow from this artery. The suggested treatment involved administration of anticoagulant Apixabana 5mg, 12/12h, for 3 months, until the condition was reevaluated with new Angio CT and MRI. It was recommended that the patient was released from work for 1 month and forbidden from doing intense physical exercises for 3 months; however, due to setbacks, these deadlines were extended until a new appointment, 4 months after the first visit. The new tests showed no changes, indicating that the condition was stable. This case aims to indicate the possible investigations of the diagnosis and therapeutic options of the rare association between VAD with cerebellar infarction in a well-documented case.

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