Posterior inferior cerebellar artery syndrome

About Posterior inferior cerebellar artery syndrome

A particular type of stroke that is caused by decreased blood flow in the vertebral or posterior inferior cerebellar artery of the brain. The affected areas of the brain are the brainstem and/or the cerebellum. Patients most often experience problems with balance and speaking.

Symptoms

Dysarthria, dysphasia, staggering gait, vertigo, hypotonia, incoordination of voluntary movement, nystagmus, Horner syndrome (eyelid droops, small pupil, and decreased sweating) on the same side of the lesion, loss of pain and temperature senses on the opposite side.

Tests & Diagnostics

A history and physical exam will be performed. A MRI and MRA is the best way to establish the diagnosis. Blood tests and other tests may be done depending on the findings of the imaging studies.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, EKG, MRI, Ultrasound.

Conventional treatment summary

There is no specific cure. Therapy is aimed at reducing symptoms and preventing strokes in the future. Treatment usually includes: aspirin or other anti-platelet drugs and physical therapy.

Medical specialties

Neurology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Posterior inferior cerebellar artery syndrome.