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Bilateral medial cerebellar infarction in a patient positive for lupus anticoagulant

Praveen Kumar Gupta1, Krishnan Pudukode Ramnath, Praharaju Janaki Sudhakar

  • 1Department of Clinical Neurosciences, Salmania Medical Complex, Ministry of Health, PO Box 12, Manama, Kingdom of Bahrain. pkguptaram@hotmail.com

Journal of Thrombosis and Thrombolysis
|December 6, 2006
PubMed

Insights

Simultaneous bilateral cerebellar infarction is rare. This case highlights a poor recovery despite a generally good prognosis, with positive lupus anticoagulant.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Cerebellar infarction, particularly bilateral medial involvement, is an uncommon cerebrovascular event.
  • The superior cerebellar artery (SCA) is a common site for cerebellar ischemic strokes.

Observation:

  • A middle-aged male presented with simultaneous bilateral medial cerebellar infarction.
  • The patient subsequently developed an infarction in the left superior cerebellar artery territory.
  • Lupus anticoagulant was detected in the patient's serum.

Findings:

  • The simultaneous bilateral cerebellar infarction was complicated by a secondary left SCA infarction.
  • Despite the typical good prognosis associated with cerebellar strokes, this patient experienced a poor clinical recovery.

Implications:

  • This case underscores the potential for severe outcomes even in seemingly less prognostically challenging cerebellar infarcts.
  • The presence of lupus anticoagulant may indicate an underlying thrombophilia contributing to the stroke's complexity.
  • Further research into risk factors and management strategies for complex bilateral cerebellar infarctions is warranted.

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