A Case of Vestibular and Oculomotor Pathology from Bilateral AICA Watershed Infarcts Treated with Basilar Artery Stenting
journal contribution
posted on 2013-11-07, 00:00 authored by Deepak Nair, Arun Talkad, Kenneth Fraeser, Jorge C. Kattah, David Z. WangBilateral AICA infarcts may be the result of impaired arterial flow in watershed territories that overlap with PICA and SCA brainstem/cerebellar circulation among patients with critical basilar artery stenosis (1-3). We report one such patient with watershed bilateral AICA infarcts. She had a two-week history of progressive truncal ataxia, frequent falls, dysarthria and episodic vomiting. Examination suggested brainstem/cerebellar localization. She had bilateral symmetric infarcts of the cerebellar flocculus and middle cerebellar peduncles (MCP) due to tandem proximal and mid-basilar artery (BA) stenosis. Failure to improve on maximal medical therapy led to BA angioplasty/ stenting, with improved brainstem/cerebellum circulation and neurologic deficits.
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Publisher Statement
NOTICE: This is the author’s version of a work that was accepted for publication in Clinical Neurology and Neurosurgery . Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Clinical Neurology and Neurosurgery , (2012) DOI: 10.1016/j.clineuro.2012.08.017Publisher
ElsevierLanguage
- en_US
issn
1872-6968Issue date
2013-07-01Usage metrics
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