THE SYNDROME OF THROMBOSIS OF THE POSTERIOR INFERIOR CEREBELLAR ARTERY: A REPORT OF 28 CASES

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Article1 February 1952THE SYNDROME OF THROMBOSIS OF THE POSTERIOR INFERIOR CEREBELLAR ARTERY: A REPORT OF 28 CASESG. N. LEWIS, M.D., A. LITTMAN, M.D., Ph.D., E. F. FOLEY, M.D., F.A.C.P.G. N. LEWIS, M.D.Search for more papers by this author, A. LITTMAN, M.D., Ph.D.Search for more papers by this author, E. F. FOLEY, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-2-592 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe syndrome resulting from occlusion of the posterior inferior cerebellar artery (PICA) was defined clearly by Wallenberg in 1895.1 Typically there is, without loss of consciousness, a sudden onset of vertigo, falling, unilateral ataxia, vomiting, diplopia, paresthesias, dysphagia and dysphonia. Horner's syndrome, cerebellar signs, unilateral palatal paralysis, ipsilateral loss of pain and temperature perception of the face and similar sensory impairment on the contralateral side of the body are observed.In 1946 Louise-Bar,2in an elaborate review of the literature of this entity, listed 240 references and presented six cases. Most of the clinical reports deal with one or two...Bibliography1. Wallenberg A: Acute Bulbäraffection (Embolie der Art. cerebellar. post. inf. sinistr.?). Arch. f. Psychiat. 27: 504, 1895. CrossrefGoogle Scholar2. Louise-Bar D: Sur le syndrome vasculaire de l'hemibulbe (Wallenberg), Monatschr. f. Psychiat. u. Neurol. 112: 301, 1946. CrossrefGoogle Scholar3. LevineCheskinApplebaum BLJIL: Clinical syndrome of occlusion of the posterior inferior cerebellar artery; report of three cases, Arch. Int. Med. 84: 431, 1949. CrossrefGoogle Scholar4. Brown JR: Localizing cerebellar syndromes, J. A. M. A. 141: 518, 1949. CrossrefMedlineGoogle Scholar5. Riley WH: The syndrome of occlusion of the posterior inferior cerebellar artery with brief clinical reports of eight cases, Bull. Battle Creek San. and Hosp. Clin. 25: 1, 1930. Google Scholar6. MerrittFinland HM: Vascular lesions of the hindbrain (lateral medullary syndrome), Brain 53: 290, 1930. CrossrefGoogle Scholar7. Brock S: The basis of clinical neurology, 2nd Ed., 1945, The Williams and Wilkins Co., Baltimore. Google Scholar8. Spiller WG: The symptom-complex of occlusion of the posterior inferior cerebellar artery: two cases with necropsy, J. Nerv. and Ment. Dis. 35: 365, 1908. CrossrefGoogle Scholar9. Purves-Stewart J: The diagnosis of nervous diseases, 9th Ed., 1945, The Williams & Wilkins Co., Baltimore. Google Scholar10. Nielsen JM: A textbook of clinical neurology, 2nd Ed., 1946, P. B. Hoeber, Inc., New York. Google Scholar11. Thompson RH: Occlusion of the posterior inferior cerebellar artery, Arch. Neurol. and Psychiat. 22: 530, 1929. CrossrefGoogle Scholar12. Alpers BJ: Clinical neurology, 1945, F. A. Davis Co., Philadelphia. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication July 13, 1951.From the Department of Medicine, Cook County Hospital, and the Departments of Clinical Science and Medicine. University of Illinois College of Medicine, Chicago. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMedullary infarcts and hemorrhagesKlinische und angiographische Befunde bei vasculären OblongatasyndromenZur Pathogenese des Wallenberg-SyndromsSaccular Aneurysms of the Posterior FossaInfarctions Simulating Brain Tumours in the Posterior Fossa�ber Wallenbergs Syndrom und seine dorsal ascendierende, sekund�re TrigeminusbahnWALLENBERG'S SYNDROME A Report of Twelve Cases with Special Reference to Prognosis 1 February 1952Volume 36, Issue 2_Part_2Page: 592-602KeywordsArteriesDysphagiaHospital medicineLoss of consciousnessParalysisPerceptionTemperatureThrombosisVertigoVomiting ePublished: 1 December 2008 Issue Published: 1 February 1952 PDF downloadLoading ...