Value of parasagittal magnetic resonance images in visualizing the vascular territories of the cerebellum

• Published in: Survey of ophthalmology Vol. 39; no. 5; pp. 399 - 402
• Main Authors: Chung, Chin-Sang, Chaves, Claudia J., Caplan, Louis R.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.03.1995; Elsevier Science
• Subjects: Ataxia - etiology; Biological and medical sciences; cerebellum; Cerebellum - blood supply; Cerebral Arteries - pathology; Cerebral Infarction - complications; Cerebral Infarction - diagnosis; Diplopia - etiology; Female; Headache - etiology; Humans; Magnetic Resonance Imaging; Medical sciences; Middle Aged; Neurology; parasagittal images; Vascular diseases and vascular malformations of the nervous system; vascular territories; Vertigo - etiology; Vomiting - etiology; magnetic resonance imaging; vascular territories; parasagittal images; cerebellum; Cerebellum; Human; Nervous system diseases; Cardiovascular disease; Exploration; Nuclear magnetic resonance imaging; Cerebral disorder; Vascularization; Vascular disease; Case study; Cerebellar disease; Cerebellar infarction; Blood vessel; Central nervous system disease; Technique; Cerebrovascular disease; Sagittal slice; Brain (vertebrata)
• ISSN: 0039-6257; 1879-3304
• DOI: 10.1016/S0039-6257(05)80095-5

The outcomes of infarctions of the cerebellar arteries may range from self-limited neuro-ophthalmic symptoms to sudden death. Identification of the affected territory may assist in clinical management because the vascular syndromes, as well as vascular mechanisms of cerebellar infarcts, are different according to the involved cerebellar arteries. However, it is usually difficult to tell the exact vascular territories using only transaxial imagings. Magnetic resonance imaging is a good tool for obtaining parasagittal and coronal images of the cerebellum, which are better for showing the vascular territories. To illustrate this point we report a 61-year-old woman with bilateral cerebellar infarcts (right posterior inferior cerebellar artery and left superior cerebellar artery who had vertigo, vomiting, headache, intermittent vertical diplopia, and difficulty walking. The clinical value of parasagittal imaging of the cerebellum in this case is discussed.