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Revista Ecuatoriana de Neurología
versión On-line ISSN 2631-2581versión impresa ISSN 1019-8113
Resumen
PENARETE-NADER, Rafael et al. Simultaneous Bilateral Cerebellar Infarction In A Patient With Paroxysmal Atrial Fibrillation: An Atypical Presentation. Rev Ecuat Neurol [online]. 2022, vol.31, n.3, pp.103-106. ISSN 2631-2581. https://doi.org/10.46997/revecuatneurol31300103.
Introduction:
Cerebellar infarcts usually occur in the territory of the posterior inferior cerebellar artery (PICA) and tend to be unilateral. Simultaneous bilateral involvement is extremely rare.
Case report:
We present the case of a 67-year-old male who developed an acute cerebellar syndrome secondary to acute infarction in the territory of both PICA confirmed by nuclear magnetic resonance imaging. Non-valvular paroxysmal atrial fibrillation was the most plausible etiology, after digital cerebral angiography ruled out vascular abnormalities.
Conclusion:
This case shows that bilateral infarction in the territory of both PICA can occur in the context of cardiac embolism, even in the absence of an anomalous common PICA.
Palabras clave : angiography; cerebellum; embolism; atrial fibrillation; cerebral infarction (MeSH)..