Cerebellar hemorrhagic infarction

Neurology
C J ChavesL D DeWitt

Abstract

We investigated 17 patients with 26 cerebellar hemorrhagic infarcts for their vascular anatomy, stroke mechanisms, and clinical course. Sixteen infarcts involved the superior cerebellar artery, nine the posterior inferior cerebellar artery, and one the anterior inferior cerebellar artery territories. The infarcts involved the full territory of the supplying arteries in 19 of 26 infarcts (73%). Sixteen of 17 patients were stable or improving when the hemorrhagic infarction was detected. All but one patient had an imaging study at the time of presentation that was negative for blood; hemorrhagic infarction was detected on routine serial scans performed during the first 15 days. Nine of the 17 patients were on anticoagulants when the cerebellar hemorrhagic infarct was detected; anticoagulation was maintained in eight of them with no clinical worsening. The stroke mechanism in all patients was considered embolic from cardiac and intra-arterial sources. The causes, imaging findings, and consequences of hemorrhagic infarcts in the posterior circulation are similar to those in the anterior circulation.

Citations

Jan 1, 2003·Current Neurology and Neuroscience Reports·Thanh Nguyen, Walter J Koroshetz
Feb 17, 2000·Journal of the Neurological Sciences·C J Chaves, L R Caplan
Jan 6, 2001·Topics in Magnetic Resonance Imaging : TMRI·A ZaheerP W Schaefer
Jul 21, 1998·Annals of the New York Academy of Sciences·C M GomezJ W Day
May 3, 2011·Revue neurologique·F VuillierT Moulin
Oct 14, 2008·Lancet Neurology·Jonathan A EdlowSean I Savitz
Jun 24, 2014·CNS Neuroscience & Therapeutics·She-Qing ZhangAi-Jun Liu
Mar 19, 2005·Cerebrovascular Diseases·Emre KumralCeyla Ataç
Sep 17, 2011·Cerebrovascular Diseases·Yuki SakamotoJunya Aoki
Sep 1, 1996·Stroke; a Journal of Cerebral Circulation·S TeraoT Mitsuma
Sep 8, 2000·Stroke; a Journal of Cerebral Circulation·M G KohE F Wijdicks

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