| Incomplete AICA Syndrome Presented with Peripheral Facial Palsy; A Variant of Gasperini Syndrome |
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Dae Hoon Kim, Byung Chul Lee, Hyeo Il Ma, Kyung Ho Yu, Hwi Chul Choi, Jong Hee Son |
| 말초성 안면마비로 발현한 불안전 전하부 소뇌동맥 증후군 [변이형 Gasperini증후군] |
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| Abstract |
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Acute infarcts of the anterior inferior cerebellar artery (AICA) territory are unusual. Furthermore incomplete AICA infarcts are perplexing because of its variations of vascular anatomy and inconsistent clinical features. We present a case with clinical features of AICA infarction, which consist of ipsilateral peripheral-type facial palsy, vertigo, and contralateral facial and upper limb sensory changes without motor weakness. The patient had hypertension and was a current smoker. The high signal intensity on inferior pontine tegmental area was found on MRI and the R2 interneuronal dysfunction was note on Blink reflex. The angiographic findings didn't show any focal vascular lesions, which is contrary to the pathogenesis of AICA infarction published previously. On the clinical ground, the present case reserves to attention in that patients with peripheral-type facial palsy should be properly evaluated and with thorough neurological examination and we could differentiate between the incomplete AICA infarcts such as Gasperini syndrome and Bell's palsy. |
| Key Words:
AICA infarct, Gasperini syndrome, Peripheral facial palsy, pontine lacune |
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