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J Korean Soc Emerg Med > Volume 26(3); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(3): 259-262.
A Case of Cerebella Infarction Caused by Cervical Meningioma
Shin Kyoung Kim, Jinmo Kim, Jin Yong Kim, Jin Yong Choi, Yoon Sik Jo
1Department of Rehabilitation Medicine, School of Medicine, Konkuk University, Chungju, Korea.
2Department of Emergency Medicine, School of Medicine, Konkuk University, Chungju, Korea.
3Department of Neurology, School of Medicine, Konkuk University, Chungju, Korea. yoonsic1214@naver.com
ABSTRACT
Mechanisms and causes of cerebral infarction, usually two mechanisms, are identified: hemodynamics and thrombotic or thromboembolic causes. Compressive causes by tumor are not reported in the main etiological classifications as Trial of Org10172 in Acute Stroke Treatment (TOAST) classification and ASCO (atherosclerosis, small vessel disease, cardiac source, and other causes). However tumors found in these locations often involve an intracranial portion of the internal carotid artery (ICA) and may compromise cerebral blood flow. Cerebral infarction related to meningioma, the common extra-axial brain tumor in adults, has been rarely reported. We experienced an extremely rare case of cerebellar infarction resulting from direct compression of the vertebral artery by cervical meningioma. To the best of our knowledge, there are no documented cases of a meningioma causing stroke by vertebral artery occlusion. We report on a case of meningioma presenting with cerebellar infarction as a result of vertebral artery compression.
Key words: Cerebellum, Cerebral infarction, Stroke, Vertigo, Meningioma
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