Abstract
Anterior inferior cerebellar artery (AICA) syndrome has been reported in elder followed by cerebral infarction, however, it is rarely found in young adult. In this study, we reported a case of AICA syndrome associated with nephrotic syndrome in a 19-year-old male. The patient suffered. with left hemiparesis, agnosia, loss of activity, anasarca and left hypacusis after diarrhea and appetite loss, and was diagnosed cerebral infarction in the territory of the anterior choroidal artery by MRI. The symptoms were improved once after medical treatment, however, vertigo and left hearing loss evoked on the 20th day after the first attack. Right horizontal beating nystagmus, no response of left ABR, and ataxia of eye tracking test in ENG were revealed. Although the territory of the AICA had no evidence of ischemic finding in MRI, MR-angiography showed an occlusion of the AICA. Neurotological examination was significantly useful for diagnose in this case.
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