Presentation
Presented with history of a seizure-like episode. The patient had an episode of paddling in the thoracic limbs, which was perceived as a seizure or vestibular event.
Patient Data
There is a large, well-defined region which is hypointense on T1 and hyperintense on T2 extending into the left cerebellar hemisphere from the dorsal margin. The lesion extends nearly the entire breadth of the left hemisphere. There is a region of mild T2 hyperintensity adjacent to the lesion on the lateral margin of the cerebellum. There is a similar, smaller lesion on the lateral margin of the right cerebellar hemisphere, again with associated T2 and FLAIR hyperintensity extending from it. There is symmetrical T2 hyperintensity extending through the white matter tracts of the cerebrum. The ventricular system is diffusely, symmetrically dilated The sulci and gyri are prominent.
Case Discussion
Cerebellar infarction. This is most compatible with the two wedge-shaped lesions in the cerebellum.
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