Cerebellar infarction resulting from traumatic occlusion of a vertebral artery

Publisher Website
Google Scholar
Abstract
A case is reported of a 22 yr old man who suffered a gunshot wound of the neck which resulted in occlusion of a vertebral artery. Within a few hours he deterioated neurologically to a comatose state with a gaze paresis and a facial paresis ipsilateral to the occluded vertebral artery. The diagnosis of cerebellar infarction with brain-stem compression was made clinically, and a posterior fossa decompression was carried out promptly. The patient made an excellent recovery. Cerebellar infarction, like cerebellar hemorrhage, may act as a posterior fossa mass requiring neurosurgical decompression. Such a pathological process may occur after certain injuries that are likely to result in occlusion of a vertebral artery.