Presentation
Sudden onset gait unsteadiness, nausea and vomiting.
Patient Data
Age: 55 years
Gender: Male
From the case:
Posterior circulation infarction
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Areas of high signal on T2 and FLAIR with restricted diffusion involving mainly the posterior inferior aspect of both cerebellar hemispheres more on the left as well as the cerebellar tonsils and right middle cerebellar peduncle. No evidence of arterial occlusion on the MRA 3D-TOF.
Cerebral volume loss with chronic small vessel ischemia (Fazekas 3).
Case Discussion
MRI features of posterior circulation infarction involving mainly the PICA territories.