Abstract
Stroke in the young population though unusual is being reported with increasing frequency. A very interesting case of posterior circulation stroke in young male is reported here. Multiple focal acute infarcts in bilateral cerebellar hemispheres were seen. Magnetic resonance angiography revealed an unpaired left posterior inferior cerebellar artery supplying both cerebellar hemispheres, which explained the bilateral involvement. The only positive finding on further investigation was presence of hyperhomocyteinemia, which suggested underlying hypercoagulable status and thromboembolism as the possible mechanism of stroke.
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