Endovascular Management of a Patient with Posterior Fossa Stroke. A Case Report

Abstract

Acute ischemic stroke of the posterior circulation presents a diagnostic and therapeutic challenge for all healthcare providers. The intervention window is slightly longer than that of the anterior circulation; however, approximately six hours after symptom onset, the patient's prognosis is poor. We report a case of a patient who presented to the emergency department with a two-hour history of altered consciousness. Magnetic resonance imaging (MRI) confirmed an acute right hemispheric cerebellar infarction in the posterior inferior cerebellar artery (PICA) territory with basilar artery occlusion. Mechanical thrombectomy, performed by a neurointerventional radiologist, achieved reperfusion of the ischemic area. The patient experienced complete neurological recovery without sequelae.

Keywords

• ischemia
• endovascular procedures
• thrombosis
• thrombectomy