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Cerebellar infarction in the superior cerebellar artery distribution

Departments of Neurology (Drs. Kase and White) and Radiology (Drs. Joslyn and Williams), University of South Alabama, College of Medicine, Mobile, AL; and the Neurological Institute (Dr. Mohr), Columbia-Presbyterian Medical Center, New York, NY.

Three patients with CT and angiographic documentation of cerebellar infarction in the superior cerebellar artery distribution had ataxic gait with little or no vertigo. Limb ataxia occurred in two patients. Transient chorea and signs of pontine infarction were also noted. CT demonstrated infarcts on the upper surface of a cerebellar hemisphere and/or vermis. Angiograms disclosed occlusion of the top of the basilar artery in two cases and distal superior cerebellar artery (SCA) branches in one. One patient later died after distal basilar artery occlusion; the others recovered.

Address correspondence and reprint requests to Dr. Kase, Neurology Department, Boston University, School of Medicine, 720 Harrison Avenue, Suite 604, Boston, MA 02118.

Presented in part at the thirty-sixth annual meeting of the American Academy of Neurology, Boston, MA, April 1984.

Accepted for publication September 12, 1984.

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