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PubMed · 15682343

[Neuropsychological dysfunction after cerebellar stroke].

C Willert·C Schaumann-Kuchling·M Adamaszek·C Spitzer
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Abstract

Secondary to an ischemic cerebellar lesion in the territory of the right posterior inferior cerebellar artery (PICA), a 62-year-old man suffered relevant neuropsychological dysfunction. This included disturbances of executive functions, impaired visuospatial memory, blunting of affect, inappropriate behaviour, and linguistic difficulties. In this case report, we discuss the clinical presentation of so-called cerebellar cognitive affective syndrome.

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Cerebellar DiseasesCognition DisordersHumansLanguage DisordersMaleMemory DisordersMental DisordersMiddle AgedStrokeCase ReportsEnglish AbstractJournal Article

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BibTeXRIS

C Willert, C Schaumann-Kuchling, M Adamaszek, C Spitzer. 2005. [Neuropsychological dysfunction after cerebellar stroke].. https://doi.org/10.1007/s00115-004-1869-2

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A case of cerebellar infarction caused by vertebral artery injury from a stab wound to the neck.

Vertebral artery injuries are the least common arterial injuries because of the deep location of the vessel in a bony canal. Injury of this vessel has not been associated with neurological deficits, and it is thought that many of these injuries are not recognized. The incidence of vertebral artery injury occurring after a penetration wound to the neck varies from 1.0% in gunshot wounds to 7.4% in stab wounds. However, even with vertebral artery injury in penetration wounds of the neck the association with cerebellar infarction is a rare occurrence. We describe a case of cerebellar infarction caused by vertebral artery injury from a stab wound that severed the vessel between the transverse processes of C3 and C4 with a hypoplastic contralateral vertebral artery. The patient ultimately suffered infarction of the cerebellum due to the lack of preservation of the posterior inferior cerebellar artery blood flow. Management is discussed and the medical literature is reviewed.

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