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Procedure: Angiography
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Formation of a large fusiform aneurysm next to a medullary infarction due to posterior inferior cerebellar artery dissection
We report a 48-year-old male with Wallenberg syndrome due to PICA dissection, which was difficult to diagnose on first admission. He reported sudden-onset sensory disturbance on the right side of his face, ataxic gait, and headache. Brain magnetic resonance imaging (MRI) revealed a fresh cerebral infarct in the right lateral medulla oblongata. Serial MRI and magnetic resonance angiography (MRA) performed at the time of his admission failed to demonstrate cerebral vessel abnormalities. MRI study performed 18 months after the attack revealed a fusiform aneurysm on the lateral medullary segment of the PICA; its site was extre...
Source: Journal of Nippon Medical School - February 23, 2023 Category: Universities & Medical Training Authors: Masahiro Yamaguchi Kyongsong Kim Takayuki Mizunari Katsuya Umeoka Kenta Koketsu Koshiro Isayama Akio Morita Source Type: research
