Abstract
A 67-year-old female was admitted for treatment of vertigo and bilateral hearing loss. Although ATP and vitamin were administered immediately, left upper facial nerve paralysis appeared three days later. CT and MRI revealed old cerebral infarctions without any abnormality in the brain stem or cerebellum. Left anterior inferior cerebellar artery syndrome was detected by vertebral angiography (VAG) with defects in the left anterior inferior cerebellar artery (AICA) and left posterior inferior cerebellar artery (PICA).The observations of spontaneous nystagmus were important for the diagnosis in this case. Early diagnosis is necessary for the prevention of progressive pathology.
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