This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Neurology  • Cerebrovascular Disease  • Radiologic Imaging  • Computed Tomography  • Magnetic Resonance Imaging  • Alert me on articles by topic  Social Bookmarking   What's this?

D. Eric Searls, MD; Louis R. Caplan, MD; Adnan Safdar, MD; Sandeep Kumar, MD

Arch Neurol. 2008;65(10):1386-1387.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 67-year-old man had the sudden onset of vertigo, gait unsteadiness, and vomiting. A week prior to these symptoms, he had developed transient left leg weakness lasting 10 minutes. At presentation, his examination showed a wide-based, unsteady gait with right-sided lateropulsion. Magnetic resonance imaging of the brain showed an acute infarction involving the right posterior inferior portion of the cerebellum (Figure 1). Magnetic resonance angiography of the brain showed no intracranial stenoses. Transthoracic echocardiogram revealed no embolic source. Computed tomography angiography of the neck showed an intraluminal thrombus at the right vertebral artery origin (Figure 2A) that was no longer seen after 3 months of anticoagulation with warfarin sodium (Figure 2B). The patient's vertigo and gait instability had completely resolved on follow-up at 3 months.

Figure appears in full text version. Figure 1. Magnetic resonance imaging . . . [Full Text of this Article]

COMMENT


AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?