Document Detail


Caveats in the management and diagnosis of cerebellar infarct and vertebral artery dissection.
MedLine Citation:
PMID:  19307404     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Early MRI, available 24 h a day and at weekends, will make a timely diagnosis in cases of cerebellar infarct and a normal initial CT scan does not exclude it. In many emergency departments MRI is not as routinely available out of hours as CT. It is important to appreciate the varied symptomatology and signs of cerebellar infarcts in order to avoid misdiagnosis or delayed diagnosis and to remember that, apart from requiring treatment with anticoagulation for the cerebellar infarct itself, the complications of cerebellar infarct may require surgical intervention. Vertebral artery dissection as a cause of cerebellar infarct may require anticoagulation or endovascular therapy.
Authors:
N Ramphul; U Geary
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  26     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-24     Completed Date:  2009-04-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  303-4     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, St James's Hospital, Dublin, Republic of Ireland. npramphul@eircom.net
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MeSH Terms
Descriptor/Qualifier:
Aspirin / therapeutic use
Cerebellum / blood supply*
Cerebral Infarction / diagnosis*,  drug therapy,  etiology
False Negative Reactions
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use
Tomography, X-Ray Computed
Vertebral Artery Dissection / complications,  diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
0/Platelet Aggregation Inhibitors; 50-78-2/Aspirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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