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Asterixis as a presentation of cerebellar ischemic stroke.
MedLine Citation:
PMID:  23359270     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Asterixis is not yet considered a common neurological sign of cerebellum infarction, and the pathogenic mechanism for asterixis remains elusive. We report a 58-year-old male with moderate hypertension who presented to our emergency department for acute headache in both cervical and occipital regions of the left side. About 2 hours later the patient developed ipsilateral asterixis in the upper left limb; 3 days later the asterixis disappeared. Magnetic resonance imaging of the brain disclosed cerebellar infarctions at the left superior cerebellar artery. In conclusion, we observed that a transitory asterixis associated with ipsilateral headache can be an initial clinical manifestation of ipsilateral cerebellar infarctions in the superior cerebellar artery area.
Authors:
Antonio Siniscalchi; Luca Gallelli; Olindo Di Benedetto; Giovambattista De Sarro
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The western journal of emergency medicine     Volume:  13     ISSN:  1936-900X     ISO Abbreviation:  West J Emerg Med     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-29     Completed Date:  2013-01-30     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  101476450     Medline TA:  West J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  507-8     Citation Subset:  -    
Affiliation:
Department of Neurology, "Annunziata" Hospital, Cosenza, Italy ; Department of Neuroradiology, "Annunziata" Hospital, Cosenza, Italy.
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