cerebellar stroke
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2021 ◽  
pp. 2229-2255
Author(s):  
Keun-Hwa Jung ◽  
Jae-Kyu Roh
Keyword(s):  


2021 ◽  
Vol 92 (11) ◽  
pp. 919-923
Author(s):  
Mark E. Lytle ◽  
Bryant R. Martin

BACKGROUND: Cryptogenic stroke leading to cerebellar infarction is a rare but serious cause of acute nausea and vomiting. This has the potential of devastating consequences if this occurs in aviators during flight. We present a case of cryptogenic stroke causing incapacitating nausea and vomiting in a U.S. Air Force pilot.CASE REPORT: A 36-yr-old active-duty U.S. Air Force male pilot developed acute onset severe vertigo, nausea, and vomiting during initial descent. Initial computed tomography imaging was normal and his initial assessment yielded a diagnosis of benign paroxysmal positional vertigo. MRI-Brain at 1 mo revealed a small right inferomedial cerebellar infarct. Echocardiography revealed a patent foramen ovale and bilateral atrial enlargement. He made a full neurological recovery and was eventually returned to active flight status with Flying Class IIC waiver.DISCUSSION: Cryptogenic stroke caused by patent foramen ovale (PFO) is uncommon. However, this is increased in patients younger than 50 yr of age. This can lead to an acute incapacitation with varying degrees of dysfunction. There is controversial discussion of treatment options for secondary stroke prevention with PFO. However, there is no significant literature on primary prevention in these patients. A small subset of patients benefit from closure of PFO and most patients benefit from antiplatelet therapy after a stroke occurs. There may also be a significant subset of patients with PFO that may benefit from antiplatelet therapy as a primary prevention of stroke.Lytle ME, Martin BR. Acute cerebellar stroke in a military active-duty pilot. Aerosp Med Hum Perform. 2021; 92(11): 919-923.





2021 ◽  
Vol 12 ◽  
pp. 334
Author(s):  
Júlia Moscardini-Martelli ◽  
Juan Antonio Ponce-Gomez ◽  
Victor Alcocer-Barradas ◽  
Samuel Romano-Feinholz ◽  
Pilar Padilla-Quiroz ◽  
...  

Background: The placement of external ventricular drainage (EVD) to treat hydrocephalus secondary to a cerebellar stroke is controversial because it has been associated to upward transtentorial herniation (UTH). This case illustrates the effectiveness of endoscopic third ventriculostomy (ETV) after the ascending herniation has occurred. Case Description: A 50-year-old man had a cerebellar stroke with hemorrhagic transformation, tonsillar herniation, and non-communicating obstructive hydrocephalus. Considering that the patient was anticoagulated and thrombocytopenic, an EVD was placed initially, followed by clinical deterioration and UTH. We performed a suboccipital craniectomy immediately after clinical worsening, but the patient did not show clinical or radiological improvement. On the 5th day, we did an ETV, which reverses the upward herniation and hydrocephalus. The patient improved progressively with good neurological recovery. Conclusion: ETV is an effective and safe procedure for obstructive hydrocephalus. The successful resolution of the patient’s upward herniation after the ETV offers a potential option to treat UTH and advocates further research in this area.



2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Cristina Montalvo ◽  
Amanda von Horn ◽  
Chadrick E. Lane ◽  
Zoe M. Weinstein ◽  
Malveeka Sharma ◽  
...  


Author(s):  
Patrícia Marques ◽  
Cristina Pereira ◽  
Fernando Silva ◽  
Teresa Garcia ◽  
Joana A. Ribeiro


Author(s):  
Swetha bharathi Nadella ◽  
Moses Bachan ◽  
Zinobia Khan ◽  
vijaya Vudathaneni ◽  
Dr.Aziz, Ahmed ◽  
...  


2021 ◽  
pp. 20210056
Author(s):  
Ahmed Khalil ◽  
Kian Röhrs ◽  
Christian H Nolte ◽  
Ivana Galinovic

Total perfusion-diffusion mismatch is a well-recognised phenomenon in patients with acute ischaemic stroke. We describe a case of total perfusion-diffusion mismatch detected using an emerging contrast-agent-free perfusion imaging technique in a young patient with acute cerebellar stroke.



Author(s):  
Ece GOK-DURSUN ◽  
Ozge Berna GULTEKIN-ZAIM ◽  
Ersin TAN ◽  
Isin UNAL-CEVIK


2021 ◽  
pp. 102690
Author(s):  
Marine Thomasson ◽  
Damien Benis ◽  
Arnaud Saj ◽  
Philippe Voruz ◽  
Roberta Ronchi ◽  
...  


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