Vertigo secondary to isolated PICA insufficiency: Successful treatment with balloon angioplasty

Robert A. Koenigsberg, Daniel McCormick, Carole Thomas, Melissa Yee, Nicole Williams

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND: The posterior inferior cerebellar arteries (PICA) arise from the intracranial segments of the vertebral artery (VA). We report a case where a nondominant isolated vertebral artery, which terminated in PICA, was stenotic. This resulted in brainstem-lower cerebellar ischemia, corrected with balloon angioplasty. CASE DESCRIPTION: A 62-year-old male presented primarily with transient vertigo, syncope, and dizziness and was diagnosed with transient ischemic attack. Angiography of the left vertebral artery (VA) demonstrated a small-caliber vessel terminating in PICA with a 90% stenosis at the C6 level. Angioplasty of the left VA was performed with excellent resolution of the stenosis. CONCLUSIONS: This case illustrates cerebellar insufficiency in a unique case where the PICA was isolated, supplied by a small- caliber VA. Correction of the stenosis improved the patient's symptomatology and prevented an inferior brainstem-cerebellar infarction.

Original languageEnglish (US)
Pages (from-to)306-310
Number of pages5
JournalSurgical Neurology
Volume60
Issue number4
DOIs
StatePublished - Oct 1 2003

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Balloon Angioplasty
Vertebral Artery
Vertigo
Arteries
Pathologic Constriction
Brain Stem Infarctions
Therapeutics
Transient Ischemic Attack
Syncope
Dizziness
Angioplasty
Brain Stem
Angiography
Ischemia

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Koenigsberg, Robert A. ; McCormick, Daniel ; Thomas, Carole ; Yee, Melissa ; Williams, Nicole. / Vertigo secondary to isolated PICA insufficiency : Successful treatment with balloon angioplasty. In: Surgical Neurology. 2003 ; Vol. 60, No. 4. pp. 306-310.
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Vertigo secondary to isolated PICA insufficiency : Successful treatment with balloon angioplasty. / Koenigsberg, Robert A.; McCormick, Daniel; Thomas, Carole; Yee, Melissa; Williams, Nicole.

In: Surgical Neurology, Vol. 60, No. 4, 01.10.2003, p. 306-310.

Research output: Contribution to journalArticle

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AU - Koenigsberg, Robert A.

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AU - Thomas, Carole

AU - Yee, Melissa

AU - Williams, Nicole

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N2 - BACKGROUND: The posterior inferior cerebellar arteries (PICA) arise from the intracranial segments of the vertebral artery (VA). We report a case where a nondominant isolated vertebral artery, which terminated in PICA, was stenotic. This resulted in brainstem-lower cerebellar ischemia, corrected with balloon angioplasty. CASE DESCRIPTION: A 62-year-old male presented primarily with transient vertigo, syncope, and dizziness and was diagnosed with transient ischemic attack. Angiography of the left vertebral artery (VA) demonstrated a small-caliber vessel terminating in PICA with a 90% stenosis at the C6 level. Angioplasty of the left VA was performed with excellent resolution of the stenosis. CONCLUSIONS: This case illustrates cerebellar insufficiency in a unique case where the PICA was isolated, supplied by a small- caliber VA. Correction of the stenosis improved the patient's symptomatology and prevented an inferior brainstem-cerebellar infarction.

AB - BACKGROUND: The posterior inferior cerebellar arteries (PICA) arise from the intracranial segments of the vertebral artery (VA). We report a case where a nondominant isolated vertebral artery, which terminated in PICA, was stenotic. This resulted in brainstem-lower cerebellar ischemia, corrected with balloon angioplasty. CASE DESCRIPTION: A 62-year-old male presented primarily with transient vertigo, syncope, and dizziness and was diagnosed with transient ischemic attack. Angiography of the left vertebral artery (VA) demonstrated a small-caliber vessel terminating in PICA with a 90% stenosis at the C6 level. Angioplasty of the left VA was performed with excellent resolution of the stenosis. CONCLUSIONS: This case illustrates cerebellar insufficiency in a unique case where the PICA was isolated, supplied by a small- caliber VA. Correction of the stenosis improved the patient's symptomatology and prevented an inferior brainstem-cerebellar infarction.

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