![pica syndrome cerebellum pica syndrome cerebellum](https://www.tomwademd.net/wp-content/uploads/2020/02/fig3a.png)
The incidence rate of BCI merged with CLOC is much higher than the unilateral cerebellar infarct (p = 0.002). Unilateral cerebellar infarct occurs more often (p = 0.006) BCI is more common in PICA+SCA blood supplying territory (p = 0.004). The incidence rate of cerebellar infarct in a posterior inferior cerebellar artery (PICA) blood supplying territory is the highest by divisions of vascular distribution. The baseline information shows that stroke history (p = 0.002), fibrinogen (p = 0.036) and admission NIHSS score (M) (p = 0.001) for the BCI group are higher than the unilateral cerebellar infarct group.
![pica syndrome cerebellum pica syndrome cerebellum](https://medchrome.com/wp-content/uploads/2010/08/Wallenberg-syndrome-PICA.jpg)
There were 36 (64.3%) cases of unilateral cerebellar infarct and 20 (35.7%) cases of the BCI. RESULTS: Amongst the 115 patients hospitalized with posterior circulation cerebral infarct due to acute stroke, 56 patients had cerebellar infarct. The demographic features, involved territories and concomitant lesions outside the cerebellum (CLOC). Patients were divided into two groups by lesions: unilateral cerebellar infarct (UCI) and bilateral cerebellar infarct (BCI). PATIENTS AND METHODS: Patients admitted to Xiangyang Hospital with acute cerebellar infarcts, confirmed by diffusion-weighted imaging (DWI), were investigated. In this article, recent findings on clinical features of vertigo and hearing loss from cerebellar ischemic stroke syndrome are summarized.Ĭerebellar infarction Cerebellum Hearing loss Ischemic stroke Vertigo.OBJECTIVE: To explore the lesion patterns and stroke mechanism of the acute bilateral cerebellar infarct. Approximately half of patients with superior cerebellar artery territory (SCA) cerebellar infarction experienced true vertigo, suggesting that the vertigo and nystagmus in the SCA territory cerebellar infarctions are more common than previously thought. Audiovestibular loss from cerebellar infarction has a good long-term outcome than previously thought. Sometimes acute isolated audiovestibular loss can be the initial symptom of impending posterior circulation ischemic stroke (particularly within the territory of the AICA). To date, at least eight subgroups of AICA territory infarction have been identified according to the pattern of neurotological presentations, among which the most common pattern of audiovestibular dysfunction is the combined loss of auditory and vestibular functions. Acute hearing loss (AHL) of a vascular cause is mostly associated with cerebellar infarction in the territory of the anterior inferior cerebellar artery (AICA), but PICA territory cerebellar infarction rarely causes AHL. A head impulse test can differentiate acute isolated vertigo associated with PICA territory cerebellar infarction from more benign disorders involving the inner ear. Approximately 11 % of the patients with isolated cerebellar infarction simulated acute peripheral vestibulopathy, and most patients had an infarct in the territory of the medial branch of the posterior inferior cerebellar artery (PICA). It usually accompanies other neurological symptoms or signs, but a small infarct in the cerebellum can present with vertigo without other localizing symptoms. Cerebellar ischemic stroke is one of the common causes of vascular vertigo.