Skip to main content
SpringerLink
Log in

Wallenberg’s syndrome with extradural–extracranial origin of the posterior inferior cerebellar artery

  • Case Report
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

We report a case of lateral medullary syndrome (LMS) with extradural origin of the posterior inferior cerebellar artery (PICA). A 45-year-old construction worker presented with acute signs and symptoms of typical LMS. Prolonged work-related neck extension was reported just prior to the onset of symptoms. Cerebral angiography revealed a patent vertebrobasilar tree with an extradural origin of an otherwise normal appearing PICA ipsilaterally. Workup did not show evidence for cardioembolic or atheroembolic source. The presence of an extradural origin of PICA may be considered a predisposing factor for non-traumatic LMS associated with head and neck movement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

LMS:

Lateral medullary syndrome

PICA:

Posterior inferior cerebellar artery

VA:

Vertebral artery

TEE:

Transesohageal echocardiogram

NIHSS:

National Institute of Health Stroke Scale

References

  1. Ropper AH, Brown RH (2005) Adams and Victor’s principles of neurology, 8th edn. McGraw-Hill Professional, USA, pp 678–88

  2. Kim JS (2003) Pure lateral medullary infarction: clinical-radiological correlation of 130 acute, consecutive patients. Brain 126(8):1864–1872

    Article  PubMed  Google Scholar 

  3. Frisoni G, Anzola G (1991) Vertebrobasilar ischemia after neck motion. Stroke 22(11):1452–1460

    Article  PubMed  CAS  Google Scholar 

  4. Sherman D, Hart R, Easton J (1981) Abrupt change in head position and cerebral infarction. Stroke 12(1):2–6

    Article  PubMed  CAS  Google Scholar 

  5. Weintraub MI, Khoury A (1995) Critical neck position as an independent risk factor for posterior circulation stroke. A magnetic resonance angiographic analysis. J Neuroimaging 5(1):16–22

    PubMed  CAS  Google Scholar 

  6. Okawara S, Nibbelink D (1974) Vertebral artery occlusion following hyperextension and rotation of the head. Stroke 5(5):640–642

    Article  PubMed  CAS  Google Scholar 

  7. Sédat J, Dib M, Mahagne MH, Lonjon M, Paquis P (2002) Stroke after chiropractic manipulation as a result of extracranial postero-inferior cerebellar artery dissection. J Manip Physiol Ther 25(9):588–590

    Article  Google Scholar 

  8. Fine AD, Cardoso A, Rhoton AL (1999) Microsurgical anatomy of the extracranial–extradural origin of the posterior inferior cerebellar artery. J Neurosurg 91(4):645–652

    Article  PubMed  CAS  Google Scholar 

  9. Kim JS, Lee JH, Choi CG (1998) Patterns of lateral medullary infarction: vascular lesion-magnetic resonance imaging correlation of 34 cases. Stroke 29(3):645–652

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The author(s) declare that they have no competing interests.

Author information

Authors and Affiliations

  1. Division of Cerebrovascular Disorders, Department of Neurology and Ophthalmology, Michigan State University, East Lansing, MI, 48824, USA

    Anmar Razak, David Clark, Muhammad U. Farooq & Mounzer Y. Kassab

Authors
  1. Anmar Razak
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David Clark
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Muhammad U. Farooq
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mounzer Y. Kassab
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Anmar Razak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Razak, A., Clark, D., Farooq, M.U. et al. Wallenberg’s syndrome with extradural–extracranial origin of the posterior inferior cerebellar artery. Neurol Sci 32, 711–713 (2011). https://doi.org/10.1007/s10072-011-0609-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-011-0609-1

Keywords

Search

Navigation