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A case of infarction of the region from the declive to the tuber in the cerebellar vermis
Author(s) -
Ogawa Katsuhiko,
Suzuki Yutaka,
Akimoto Takayoshi,
Kamei Satoshi
Publication year - 2019
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12244
Subject(s) - medicine , cerebellar vermis , anatomy , infarction , cerebellum , magnetic resonance imaging , lesion , lobe , trunk , surgery , radiology , cardiology , myocardial infarction , ecology , biology , endocrinology
We report a rare case of infarction limited in the region from the declive to the tuber of the posterior lobe in the cerebellar vermis. A 47‐year‐old woman complained of dizziness with acute onset. Mild incoordination of the left upper extremity and mild truncal and gait ataxia was noted. Brain magnetic resonance imaging showed an infarct of the region from the declive to the tuber on the left side. In the posterior lobe, the region from the declive to the tuber is associated with coordination of the hands. The dorsal spinocerebellar tract and the ventral spinocerebellar tract convey unconsciousness proprioceptive signals from the trunk and leg and project to the anterior and posterior lobes in the cerebellar vermis. Symptoms in our patient indicated that the lesion of this region was related to the impairment of these two tracts and incidence of incoordination of the lateral upper extremity.