Clinical manifestations of cerebellar infarction according to specific lobular involvement

Seok Ye Byoung, Dae Kim Young, Suk Nam Hyo, Sun Lee Hye, Mo Nam Chung, Hoe Heo Ji

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Lesions in the cerebellum produce various symptoms related to balance and motor coordination. However, the relationship between the exact topographical localization of a lesion and the resulting symptoms is not well understood in humans. In this study, we analyzed 66 consecutive patients with isolated cerebellar infarctions demonstrated on diffusion-weighted magnetic resonance imaging. We identified the involved lobules in these patients using a cross-referencing tool of the picture archiving and communication system, and we investigated the relationships between the sites of the lesions and specific symptoms using χ2 tests and logistic regression analysis. The most common symptoms in patients with isolated cerebellar infarctions were vertigo (87%) and lateropulsion (82%). Isolated vertigo or lateropulsion without any other symptoms was present in 38% of patients. On the other hand, limb ataxia was a presenting symptom in only 40% of the patients. Lateropulsion, vertigo, and nystagmus were more common in patients with a lesion in the caudal vermis. Logistic regression analysis showed that lesions in the posterior paravermis or nodulus were independently associated with lateropulsion. Lesions in the nodulus were associated with contralateral pulsion, and involvement of the culmen was associated with ipsilateral pulsion and isolated lateropulsion without vertigo. Nystagmus was associated with lesions in the pyramis lobule, while lesions of the anterior paravermis were associated with dysarthria and limb ataxia. Our results showed that the cerebellar lobules are responsible for producing specific symptoms in cerebellar stroke patients.

Original languageEnglish
Pages (from-to)571-579
Number of pages9
JournalCerebellum
Volume9
Issue number4
DOIs
Publication statusPublished - 2010 Dec 1

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Infarction
Vertigo
Ataxia
Logistic Models
Regression Analysis
Radiology Information Systems
Dysarthria
Diffusion Magnetic Resonance Imaging
Cerebellum
Stroke

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Byoung, Seok Ye ; Young, Dae Kim ; Hyo, Suk Nam ; Hye, Sun Lee ; Chung, Mo Nam ; Ji, Hoe Heo. / Clinical manifestations of cerebellar infarction according to specific lobular involvement. In: Cerebellum. 2010 ; Vol. 9, No. 4. pp. 571-579.
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Clinical manifestations of cerebellar infarction according to specific lobular involvement. / Byoung, Seok Ye; Young, Dae Kim; Hyo, Suk Nam; Hye, Sun Lee; Chung, Mo Nam; Ji, Hoe Heo.

In: Cerebellum, Vol. 9, No. 4, 01.12.2010, p. 571-579.

Research output: Contribution to journalArticle

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