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http://dx.doi.org/10.3340/jkns.2013.54.3.239

Bilateral Superior Cerebellar Artery Infarction after Stent-Angioplasty for Internal Carotid Artery Stenosis  

Kim, Jung-Hwan (Department of Neurosurgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Lee, Jong-Hyeog (Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Jo, Kwang-Deog (Department of Neurology, Gangneung Asan Hospital, University of Ulsan College of Medicine)
You, Seung-Hoon (Department of Neurosurgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.54, no.3, 2013 , pp. 239-242 More about this Journal
Abstract
Spontaneous bilateral cerebellar infarction in the territory of the superior cerebellar arteries is extremely rare. Occasionally there have been reports of bilateral cerebellar infarction due to vertebrobasilar atherosclerotic occlusion or stenosis, whereas no report of bilateral cerebellar infarction due to complicated hemodynamic changes. In this report, we present a patient with bilateral cerebral infarctions related to stenoses of bilateral internal carotid arteries, in whom vertebrobasilar system was supplied by multiple collaterals from both posterior communicating arteries and right external carotid artery. We performed stent-angioplasty of bilateral internal cerebral arterial stenosis, and then acute infarction developed on bilateral superior cerebellar artery territories. The authors assumed that the infarction occurred due to hemodynamic change between internal carotid artery and external carotid artery after stent-angioplasty for stenosis of right internal carotid artery.
Keywords
Bilateral cerebellar infarct; Stent-angioplasty; Hemodynamic change;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Kim DS, Kim JK, Yoo DS, Huh PW, Cho KS, Kang JK : Complications of cerebral revascularization surgery. Korean J Cerebrovasc Dis 3 : 50-53, 2001
2 Grunwald IQ, Politi M, Reith W, Krick C, Karp K, Zimmer A, et al. : Hyperperfusion syndrome after carotid stent angioplasty. Neuroradiology 51 : 169-174, 2009   DOI
3 Jang HJ, Cho KY, Lim JS, Park SK, Lee RS : Cerebral infarction after transfemoral carotid angiography : report of 2 cases. Korean J Cerebrovasc Surg 10 : 528-531, 2008
4 Kim DE, Choi SM, Yoon W, Kim BC : Hyperperfusion syndrome after carotid stent-supported angioplasty in patients with autonomic dysfunction. J Korean Neurosurg Soc 52 : 476-479, 2012   DOI
5 Kiroğlu Y, Karabulut N, Oncel C, Akdogan I, Onur S : Bilateral symmetric junctional infarctions of the cerebellum : a case report. Surg Radiol Anat 32 : 509-512, 2010   DOI
6 Liebeskind DS : Collateral circulation. Stroke 34 : 2279-2284, 2003   DOI
7 Meyers PM, Phatouros CC, Higashida RT : Hyperperfusion syndrome after intracranial angioplasty and stent placement. Stroke 37 : 2210-2211, 2006   DOI
8 Müller M, Schimrigk K : Vasomotor reactivity and pattern of collateral blood flow in severe occlusive carotid artery disease. Stroke 27 : 296-299, 1996   DOI
9 Rezende MT, Spelle L, Mounayer C, Piotin M, Abud DG, Moret J : Hyperperfusion syndrome after stenting for intracranial vertebral stenosis. Stroke 37 : e12-e14, 2006   DOI
10 Shim JH, Rha HK, Kim SR, Joo WI, Kim MC, Choi CR : Hyperperfusion syndrome after extracranial-intracranial bypass surgery. J Korean Neurosurg Soc 34 : 526-530, 2003
11 Romero JR, Pikula A, Nguyen TN, Nien YL, Norbash A, Babikian VL : Cerebral collateral circulation in carotid artery disease. Curr Cardiol Rev 5 : 279-288, 2009   DOI
12 Sánchez-Arjona MB, Sanz-Fernández G, Franco-Macías E, Gil-Peralta A : Cerebral hemodynamic changes after carotid angioplasty and stenting. AJNR Am J Neuroradiol 28 : 640-644, 2007
13 Schechter MM : The occipital-vertebral anastomosis. J Neurosurg 21 : 758-762, 1964   DOI
14 Tada Y, Mizutani T, Nishimura T, Tamura M, Mori N : Acute bilateral cerebellar infarction in the territory of the medial branches of posterior inferior cerebellar arteries. Stroke 25 : 686-688, 1994   DOI
15 Tsukamoto T, Seki H, Saitoh J, Watanabe K : A case of bilateral cerebellar peduncle infarction. Jpn J Med 30 : 376-378, 1991   DOI
16 Yamamoto S, Watanabe M : Novel collateral connecting the external and internal carotid arteries. Clin Anat 17 : 70-72, 2004   DOI
17 Vernieri F, Pasqualetti P, Matteis M, Passarelli F, Troisi E, Rossini PM, et al. : Effect of collateral blood flow and cerebral vasomotor reactivity on the outcome of carotid artery occlusion. Stroke 32 : 1552-1558, 2001   DOI