Posterior fossa ischemia and bilateral vertebral artery hypoplasia.
OBJECTIVE
To discuss cerebellar infarct in a patient with bilateral hypoplasia of the vertebral arteries.


METHODS
A 67-year-old woman suffered neck pain and headaches immediately after a minor motor vehicle accident. Fracture and dislocation were radiographically ruled out. Within a few days, the patient began to experience symptoms of vertigo and dizziness. Computed tomography scanning of the brain revealed a cerebellar infarct, and an angiogram of the vertebral arteries demonstrated bilateral hypoplasia.


RESULTS
The cerebellar infarct created mild, stable symptoms, and the patient was monitored closely in a hospital setting until the risk of possible complications was negligible. After an uncomplicated and full recovery, the patient was given recommendations regarding critical neck positions to decrease the potential for further ischemic events.


CONCLUSIONS
Cerebellar infarcts are rare and may be associated with rare vascular anomalies.
Mestan
M A
MA
Parker College of Chiropractic, Dallas, Texas, USA. mmestan@parkercc.edu
D000063:Accidents, Traffic; D000368:Aged; D002526:Cerebellar Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002544:Cerebral Infarction / Q000175:diagnosis*; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging