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Article
June 1970

Cerebellar Infarction With Brain Stem CompressionDiagnosis and Surgical Treatment

Author Affiliations

Boston
From the Neurology and Neurosurgery Services, Massachusetts General Hospital (Drs. Lehrich, Winkler, and Ojemann), and Department of Neurology, Harvard Medical School (Drs. Lehrich and Winkler), Boston. Dr. Lehrich is now with the Department of Neurology, Hospital of the University of Pennsylvania, and the Wistar Institute, Philadelphia.

Arch Neurol. 1970;22(6):490-498. doi:10.1001/archneur.1970.00480240010002
Abstract

INFARCTION of the cerebellum is a diagnosis rarely made while the patient is alive.1 Since 1960, we have encountered four such patients in a 1,000-bed general hospital. Each presented clinically as a posterior fossa mass compressing the brain stem; two were successfully treated by surgical decompression. Our experience is not unique; several similar cases have been reported previously. Because cerebellar infarction may be rapidly fatal without treatment, we wish to present our experience and to review the literature in an effort to define a syndrome which can be diagnosed early.

Report of Cases  CASE 1.—A 36-year-old man had been in good health, except for mild hypertension, until November 1960 when he developed a generalized headache. Two weeks later, he came home from a football game, having apparently fallen and complaining of severe headache and dizziness. The next day he was unable to walk without lurching, and his

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