Diagnosis and initial management of cerebellar infarction

The Lancet Neurology

Volumn 7, Issue 10, 2008, Pages 951-964

  Edlow, Jonathan A ^a   Newman Toker, David E ^b   Savitz, Sean I ^c  

^a HARVARD MEDICAL SCHOOL   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF TEXAS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALTEPLASE; FIBRINOLYTIC AGENT; OSMOTIC DIURETIC AGENT;

ATAXIA; BRAIN ISCHEMIA; CEREBELLUM INFARCTION; COMPUTER ASSISTED TOMOGRAPHY; DIZZINESS; DYSARTHRIA; EYE MOVEMENT; GAIT DISORDER; HEADACHE; HUMAN; HYDROCEPHALUS; MOTOR COORDINATION; NAUSEA; NYSTAGMUS; PATIENT MONITORING; PHYSICAL EXAMINATION; POSTERIOR FOSSA; PRIORITY JOURNAL; REVIEW; STROKE; VASCULAR DISEASE; VOMITING;

BLOOD PRESSURE; BRAIN INFARCTION; CEREBELLAR DISEASES; CEREBELLUM; HUMANS; MODELS, BIOLOGICAL; TOMOGRAPHY, X-RAY COMPUTED;

EID: 51649100294     PISSN: 14744422     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1474-4422(08)70216-3     Document Type: Review

References (132)

1. Bogousslavsky J., Van Melle G., and Regli F. The Lausanne Stroke Registry: analysis of 1,000 consecutive patients with first stroke. Stroke 19 (1988) 1083-1092
2. Kumral E., Kisabay A., and Atac C. Lesion patterns and etiology of ischemia in superior cerebellar artery territory infarcts. Cerebrovasc Dis 19 (2005) 283-290
3. Kumral E., Kisabay A., and Atac C. Lesion patterns and etiology of ischemia in the anterior inferior cerebellar artery territory involvement: a clinical-diffusion weighted MRI study. Eur J Neurol 13 (2006) 395-401
4. Kumral E., Kisabay A., Atac C., Calli C., and Yunten N. Spectrum of the posterior inferior cerebellar artery territory infarcts. Clinical-diffusion-weighted imaging correlates. Cerebrovasc Dis 20 (2005) 370-380
5. Kumral E., Ozkaya B., Sagduyu A., Sirin H., Vardarli E., and Pehlivan M. The Ege Stroke Registry: a hospital-based study in the Aegean region, Izmir, Turkey. Analysis of 2,000 stroke patients. Cerebrovasc Dis 8 (1998) 278-288
6. Macdonell R.A., Kalnins R.M., and Donnan G.A. Cerebellar infarction: natural history, prognosis, and pathology. Stroke 18 (1987) 849-855
7. Tohgi H., Takahashi S., Chiba K., and Hirata Y. Cerebellar infarction. Clinical and neuroimaging analysis in 293 patients. The Tohoku Cerebellar Infarction Study Group. Stroke 24 (1993) 1697-1701
8. Moulin T., Tatu L., Vuillier F., Berger E., Chavot D., and Rumbach L. Role of a stroke data bank in evaluating cerebral infarction subtypes: patterns and outcome of 1,776 consecutive patients from the Besancon stroke registry. Cerebrovasc Dis 10 (2000) 261-271
9. Vemmos K.N., Takis C.E., Georgilis K., et al. The Athens stroke registry: results of a five-year hospital-based study. Cerebrovasc Dis 10 (2000) 133-141
10. Centers for Disease Control and Prevention. Prevalence of stroke-United States, 2005. MMWR Morb Mortal Wkly Rep 56 (2007) 469-474
11. Kase C.S., Norrving B., Levine S.R., et al. Cerebellar infarction. Clinical and anatomic observations in 66 cases. Stroke 24 (1993) 76-83
12. Barinagarrementeria F., Amaya L.E., and Cantu C. Causes and mechanisms of cerebellar infarction in young patients. Stroke 28 (1997) 2400-2404
13. Savitz S.I., Caplan L.R., and Edlow J.A. Pitfalls in the diagnosis of cerebellar infarction. Acad Emerg Med 14 (2007) 63-68
14. Flossmann E., and Rothwell P.M. Prognosis of vertebrobasilar transient ischaemic attack and minor stroke. Brain 126 (2003) 1940-1954
15. Truelsen T., Piechowski-Jozwiak B., Bonita R., Mathers C., Bogousslavsky J., and Boysen G. Stroke incidence and prevalence in Europe: a review of available data. Eur J Neurol 13 (2006) 581-598
16. Newman-Toker DE. Diagnosing dizziness in the emergency department-Why "what do you mean by 'dizzy'?" should not be the first question you ask. PhD thesis, Johns Hopkins University, 2007; 1-172.
17. Tatu L., Moulin T., Bogousslavsky J., and Duvernoy H. Arterial territories of human brain: brainstem and cerebellum. Neurology 47 (1996) 1125-1135
18. Amarenco P., Hauw J.J., and Gautier J.C. Arterial pathology in cerebellar infarction. Stroke 21 (1990) 1299-1305
19. Chaves C.J., Caplan L.R., Chung C.S., et al. Cerebellar infarcts in the New England Medical Center Posterior Circulation Stroke Registry. Neurology 44 (1994) 1385-1390
20. Min W.K., Kim Y.S., Kim J.Y., Park S.P., and Suh C.K. Atherothrombotic cerebellar infarction: vascular lesion-MRI correlation of 31 cases. Stroke 30 (1999) 2376-2381
21. Bogousslavsky J., Regli F., Maeder P., Meuli R., and Nader J. The etiology of posterior circulation infarcts: a prospective study using magnetic resonance imaging and magnetic resonance angiography. Neurology 43 (1993) 1528-1533
22. Savitz S.I., and Caplan L.R. Vertebrobasilar disease. N Engl J Med 352 (2005) 2618-2626
23. Shin H.K., Yoo K.M., Chang H.M., and Caplan L.R. Bilateral intracranial vertebral artery disease in the New England Medical Center, Posterior Circulation Registry. Arch Neurol 56 (1999) 1353-1358
24. Muller-Kuppers M., Graf K.J., Pessin M.S., DeWitt L.D., and Caplan L.R. Intracranial vertebral artery disease in the New England Medical Center Posterior Circulation Registry. Eur Neurol 37 (1997) 146-156
25. Wityk R.J., Chang H.M., Rosengart A., et al. Proximal extracranial vertebral artery disease in the New England Medical Center Posterior Circulation Registry. Arch Neurol 55 (1998) 470-478
26. Caplan L.R., Gorelick P.B., and Hier D.B. Race, sex and occlusive cerebrovascular disease: a review. Stroke 17 (1986) 648-655
27. Caplan L. Posterior circulation ischemia: then, now, and tomorrow. The Thomas Willis Lecture-2000. Stroke 31 (2000) 2011-2023
28. Arnold M., Bousser M.G., Fahrni G., et al. Vertebral artery dissection: presenting findings and predictors of outcome. Stroke 37 (2006) 2499-2503
29. Schievink W.I. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 344 (2001) 898-906
30. Camacho A., Villarejo A., de Aragon A.M., Simon R., and Mateos F. Spontaneous carotid and vertebral artery dissection in children. Pediatr Neurol 25 (2001) 250-253
31. Miley M.L., Wellik K.E., Wingerchuk D.M., and Demaerschalk B.M. Does cervical manipulative therapy cause vertebral artery dissection and stroke?. Neurologist 14 (2008) 66-73
32. Reuter U., Hamling M., Kavuk I., Einhaupl K.M., and Schielke E. Vertebral artery dissections after chiropractic neck manipulation in Germany over three years. J Neurol 253 (2006) 724-730
33. de Bray J.M., Penisson-Besnier I., Dubas F., and Emile J. Extracranial and intracranial vertebrobasilar dissections: diagnosis and prognosis. J Neurol Neurosurg Psychiatry 63 (1997) 46-51
34. Mascalchi M., Bianchi M.C., Mangiafico S., et al. MRI and MR angiography of vertebral artery dissection. Neuroradiology 39 (1997) 329-340
35. Weintraub M.I. Beauty parlor stroke syndrome: report of five cases. JAMA 269 (1993) 2085-2086
36. Iwase H., Kobayashi M., Kurata A., and Inoue S. Clinically unidentified dissection of vertebral artery as a cause of cerebellar infarction. Stroke 32 (2001) 1422-1424
37. Verma R., and Shukla R. Bilateral superior cerebellar artery infarcts: unusual presentation in two patients of stroke in young. J Assoc Physicians India 55 (2007) 663-666
38. Amarenco P., Levy C., Cohen A., Touboul P.J., Roullet E., and Bousser M.G. Causes and mechanisms of territorial and nonterritorial cerebellar infarcts in 115 consecutive patients. Stroke 25 (1994) 105-112
39. McLean C.A., Gonzales M.F., and Dowling J.P. Systemic giant cell arteritis and cerebellar infarction. Stroke 24 (1993) 899-902
40. Umashankar G., Gupta V., and Harik S.I. Acute bilateral inferior cerebellar infarction in a patient with neurosyphilis. Arch Neurol 61 (2004) 953-956
41. Nayak A.K., Karnad D., Mahajan M.V., Shah A., and Meisheri Y.V. Cerebellar venous infarction in chronic suppurative otitis media. A case report with review of four other cases. Stroke 25 (1994) 1058-1060
42. Eng L.J., Longstreth Jr. W.T., Shaw C.M., Eskridge J.M., and Bahls F.H. Cerebellar venous infarction: case report with clinicopathologic correlation. Neurology 40 (1990) 837-838
43. Geller T., Loftis L., and Brink D.S. Cerebellar infarction in adolescent males associated with acute marijuana use. Pediatrics 113 (2004) e365-e370
44. Aggarwal S., and Byrne B.D. Massive ischemic cerebellar infarction due to cocaine use. Neuroradiology 33 (1991) 449-450
45. Jayamaha J.E., and Street M.K. Fatal cerebellar infarction in a migraine sufferer whilst receiving sumatriptan. Intensive Care Med 21 (1995) 82-83
46. Reid J., Riding M., Purdy A., and Phillips S. Acute migraine-associated borderzone cerebellar infarction. Cephalalgia 26 (2006) 1247-1251
47. Titus F., Montalban J., Molins A., Gili J., Lopez M., and Codina A. Migraine-related stroke: brain infarction in superior cerebellar artery territory demonstrated by nuclear magnetic resonance. Acta Neurol Scand 79 (1989) 357-360
48. Lee H., Sohn S.I., Cho Y.W., et al. Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns. Neurology 67 (2006) 1178-1183
49. Barth A., Bogousslavsky J., and Regli F. The clinical and topographic spectrum of cerebellar infarcts: a clinical-magnetic resonance imaging correlation study. Ann Neurol 33 (1993) 451-456
50. Canaple S., and Bogousslavsky J. Multiple large and small cerebellar infarcts. J Neurol Neurosurg Psychiatry 66 (1999) 739-745
51. Chaves C.J., Pessin M.S., Caplan L.R., et al. Cerebellar hemorrhagic infarction. Neurology 46 (1996) 346-349
52. Raco A., Caroli E., Isidori A., and Salvati M. Management of acute cerebellar infarction: one institution's experience. Neurosurgery 53 (2003) 1061-1065 discussion 1065-66.
53. Lee H., Ahn B.H., and Baloh R.W. Sudden deafness with vertigo as a sole manifestation of anterior inferior cerebellar artery infarction. J Neurol Sci 222 (2004) 105-107
54. Ois A., Gomis M., Rodriguez-Campello A., et al. Factors associated with a high risk of recurrence in patients with transient ischemic attack or minor stroke. Stroke 39 (2008) 1717-1721
55. von Campe G., Regli F., and Bogousslavsky J. Heralding manifestations of basilar artery occlusion with lethal or severe stroke. J Neurol Neurosurg Psychiatry 74 (2003) 1621-1626
56. Neuhauser H.K., von Brevern M., Radtke A., et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 65 (2005) 898-904
57. Kroenke K., and Jackson J.L. Outcome in general medical patients presenting with common symptoms: a prospective study with a 2-week and a 3-month follow-up. Fam Pract 15 (1998) 398-403
58. Newman-Toker D.E., Cannon L.M., Stofferahn M.E., Rothman R.E., Hsieh Y.H., and Zee D.S. Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an acute care setting. Mayo Clin Proc 82 (2007) 1329-1340
59. Stanton V.A., Hsieh Y.H., Camargo Jr. C.A., et al. Overreliance on symptom quality in diagnosing dizziness: results of a multicenter survey of emergency physicians. Mayo Clin Proc 82 (2007) 1319-1328
60. Kerber K.A., Brown D.L., Lisabeth L.D., Smith M.A., and Morgenstern L.B. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke 37 (2006) 2484-2487
61. Schwartz N.E., Venkat C., and Albers G.W. Transient isolated vertigo secondary to an acute stroke of the cerebellar nodulus. Arch Neurol 64 (2007) 897-898
62. Hotson J.R., and Baloh R.W. Acute vestibular syndrome. N Engl J Med 339 (1998) 680-685
63. Newman-Toker D.E., Kattah J., Alvernia J., and Wang D. Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology 70 (2008) 2378-2385
64. Lee H., and Cho Y.W. Auditory disturbance as a prodrome of anterior inferior cerebellar artery infarction. J Neurol Neurosurg Psychiatry 74 (2003) 1644-1648
65. Son E.J., Bang J.H., and Kang J.G. Anterior inferior cerebellar artery infarction presenting with sudden hearing loss and vertigo. Laryngoscope 117 (2007) 556-558
66. Cnyrim C.D., Newman-Toker D.E., Karch C., Brandt T., and Strupp M. Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis". J Neurol Neurosurg Psychiatry 79 (2008) 458-460
67. Norrving B., Magnusson M., and Holtas S. Isolated acute vertigo in the elderly; vestibular or vascular disease?. Acta Neurol Scand 91 (1995) 43-48
68. Fisher C.M. Vomiting out of proportion to dizziness in ischemic brainstem strokes. Neurology 46 (1996) 267
69. Baloh R.W. Clinical practice. Vestibular neuritis. N Engl J Med 348 (2003) 1027-1032
70. Kumral E., Bogousslavsky J., Van Melle G., Regli F., and Pierre P. Headache at stroke onset: the Lausanne Stroke Registry. J Neurol Neurosurg Psychiatry 58 (1995) 490-492
71. Tentschert S., Wimmer R., Greisenegger S., Lang W., and Lalouschek W. Headache at stroke onset in 2196 patients with ischemic stroke or transient ischemic attack. Stroke 36 (2005) e1-e3
72. Schwedt T.J., and Dodick D.W. Thunderclap stroke: embolic cerebellar infarcts presenting as thunderclap headache. Headache 46 (2006) 520-522
73. Goldstein J.N., Camargo Jr. C.A., Pelletier A.J., and Edlow J.A. Headache in United States emergency departments: demographics, work-up and frequency of pathological diagnoses. Cephalalgia 26 (2006) 684-690
74. Edlow J.A. Headache. In: Wolfson A. (Ed). Clinical practice of emergency medicine. fourth edn. (2005), Lippincott Williams & Wilkins, Philadelphia 94-99
75. Saeed A.B., Shuaib A., Al-Sulaiti G., and Emery D. Vertebral artery dissection: warning symptoms, clinical features and prognosis in 26 patients. Can J Neurol Sci 27 (2000) 292-296
76. Urban P.P., Marx J., Hunsche S., et al. Cerebellar speech representation: lesion topography in dysarthria as derived from cerebellar ischemia and functional magnetic resonance imaging. Arch Neurol 60 (2003) 965-972
77. Kumral E., Celebisoy M., Celebisoy N., Canbaz D.H., and Calli C. Dysarthria due to supratentorial and infratentorial ischemic stroke: a diffusion-weighted imaging study. Cerebrovasc Dis 23 (2007) 331-338
78. Urban P.P., Rolke R., Wicht S., et al. Left-hemispheric dominance for articulation: a prospective study on acute ischaemic dysarthria at different localizations. Brain 129 (2006) 767-777
79. Moulin T., Bogousslavsky J., Chopard J.L., et al. Vascular ataxic hemiparesis: a re-evaluation. J Neurol Neurosurg Psychiatry 58 (1995) 422-427
80. Luijckx G.J., Boiten J., Lodder J., Heuts-van Raak L., and Wilmink J. Isolated hemiataxia after supratentorial brain infarction. J Neurol Neurosurg Psychiatry 57 (1994) 742-744
81. Gorman M.J., Dafer R., and Levine S.R. Ataxic hemiparesis: critical appraisal of a lacunar syndrome. Stroke 29 (1998) 2549-2555
82. Kovacs G., and Croskerry P. Clinical decision making: an emergency medicine perspective. Acad Emerg Med 6 (1999) 947-952
83. Graber M., Gordon R., and Franklin N. Reducing diagnostic errors in medicine: what's the goal?. Acad Med 77 (2002) 981-992
84. Eggers S.D. Migraine-related vertigo: diagnosis and treatment. Curr Pain Headache Rep 11 (2007) 217-226
85. Neuhauser H.K. Epidemiology of vertigo. Curr Opin Neurol 20 (2007) 40-46
86. Neuhauser H., and Lempert T. Vertigo and dizziness related to migraine: a diagnostic challenge. Cephalalgia 24 (2004) 83-91
87. Halmagyi G.M., and Curthoys I.S. A clinical sign of canal paresis. Arch Neurol 45 (1988) 737-739
88. Jorns-Haderli M., Straumann D., and Palla A. Accuracy of the bedside head impulse test in detecting vestibular hypofunction. J Neurol Neurosurg Psychiatry 78 (2007) 1113-1118
89. Masdeu J.C., Irimia P., Asenbaum S., et al. EFNS guideline on neuroimaging in acute stroke. Report of an EFNS task force. Eur J Neurol 13 (2006) 1271-1283
90. Mullins M.E., Schaefer P.W., Sorensen A.G., et al. CT and conventional and diffusion-weighted MR imaging in acute stroke: study in 691 patients at presentation to the emergency department. Radiology 224 (2002) 353-360
91. Chalela J.A., Kidwell C.S., Nentwich L.M., et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet 369 (2007) 293-298
92. Simmons Z., Biller J., Adams Jr. H.P., Dunn V., and Jacoby C.G. Cerebellar infarction: comparison of computed tomography and magnetic resonance imaging. Ann Neurol 19 (1986) 291-293
93. Oppenheim C., Stanescu R., Dormont D., et al. False-negative diffusion-weighted MR findings in acute ischemic stroke. AJNR Am J Neuroradiol 21 (2000) 1434-1440
94. Cloud G.C., and Markus H.S. Diagnosis and management of vertebral artery stenosis. QJM 96 (2003) 27-54
95. Tsivgoulis G., Sharma V.K., Hoover S.L., et al. Applications and advantages of power motion-mode Doppler in acute posterior circulation cerebral ischemia. Stroke 39 (2008) 1197-1204
96. Puchner S., Haumer M., Rand T., et al. CTA in the detection and quantification of vertebral artery pathologies: a correlation with color Doppler sonography. Neuroradiology 49 (2007) 645-650
97. Bash S., Villablanca J.P., Jahan R., et al. Intracranial vascular stenosis and occlusive disease: evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR Am J Neuroradiol 26 (2005) 1012-1021
98. Nguyen-Huynh M.N., Wintermark M., English J., et al. How accurate is CT angiography in evaluating intracranial atherosclerotic disease?. Stroke 39 (2008) 1184-1188
99. Adams Jr. H.P., del Zoppo G., Alberts M.J., et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 38 (2007) 1655-1711
100. Kelly P.J., Stein J., Shafqat S., et al. Functional recovery after rehabilitation for cerebellar stroke. Stroke 32 (2001) 530-534
101. Grond M., Rudolf J., Schmulling S., Stenzel C., Neveling M., and Heiss W.D. Early intravenous thrombolysis with recombinant tissue-type plasminogen activator in vertebrobasilar ischemic stroke. Arch Neurol 55 (1998) 466-469
102. Montavont A., Nighoghossian N., Derex L., et al. Intravenous r-TPA in vertebrobasilar acute infarcts. Neurology 62 (2004) 1854-1856
103. Caplan L. Thrombolysis in vertebrobasilar occlusive disease. In: Lyden P, ed. Thrombolytic therapy for stroke, 2nd edn, 2001.
104. Berguer R., Flynn L.M., Kline R.A., and Caplan L. Surgical reconstruction of the extracranial vertebral artery: management and outcome. J Vasc Surg 31 (2000) 9-18
105. Habozit B. Vertebral artery reconstruction: results in 106 patients. Ann Vasc Surg 5 (1991) 61-65
106. Ahn J.Y., Han I.B., Kim T.G., et al. Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling. AJNR Am J Neuroradiol 27 (2006) 1514-1520
107. Peluso J.P., van Rooij W.J., Sluzewski M., Beute G.N., and Majoie C.B. Endovascular treatment of symptomatic intradural vertebral dissecting aneurysms. AJNR Am J Neuroradiol 29 (2008) 102-106
108. Rabinov J.D., Hellinger F.R., Morris P.P., Ogilvy C.S., and Putman C.M. Endovascular management of vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol 24 (2003) 1421-1428
109. Dabus G., Gerstle R.J., Derdeyn C.P., Cross D.T., and Moran C.J. Endovascular treatment of the vertebral artery origin in patients with symptoms of vertebrobasilar ischemia. Neuroradiology 48 (2006) 917-923
110. Eberhardt O., Naegele T., Raygrotzki S., Weller M., and Ernemann U. Stenting of vertebrobasilar arteries in symptomatic atherosclerotic disease and acute occlusion: case series and review of the literature. J Vasc Surg 43 (2006) 1145-1154
111. Mukherjee D., and Pineda G. Extracranial vertebral artery intervention. J Interv Cardiol 20 (2007) 409-416
112. Piotin M., Spelle L., Martin J.B., et al. Percutaneous transluminal angioplasty and stenting of the proximal vertebral artery for symptomatic stenosis. AJNR Am J Neuroradiol 21 (2000) 727-731
113. Weber W., Mayer T.E., Henkes H., et al. Stent-angioplasty of intracranial vertebral and basilar artery stenoses in symptomatic patients. Eur J Radiol 55 (2005) 231-236
114. Chow M.M., Masaryk T.J., Woo H.H., Mayberg M.R., and Rasmussen P.A. Stent-assisted angioplasty of intracranial vertebrobasilar atherosclerosis: midterm analysis of clinical and radiologic predictors of neurological morbidity and mortality. AJNR Am J Neuroradiol 26 (2005) 869-874
115. Nahser H.C., Henkes H., Weber W., Berg-Dammer E., Yousry T.A., and Kuhne D. Intracranial vertebrobasilar stenosis: angioplasty and follow-up. AJNR Am J Neuroradiol 21 (2000) 1293-1301
116. Lin D.D., Gailloud P., Beauchamp N.J., Aldrich E.M., Wityk R.J., and Murphy K.J. Combined stent placement and thrombolysis in acute vertebrobasilar ischemic stroke. AJNR Am J Neuroradiol 24 (2003) 1827-1833
117. Chen H.J., Lee T.C., and Wei C.P. Treatment of cerebellar infarction by decompressive suboccipital craniectomy. Stroke 23 (1992) 957-961
118. Hornig C.R., Rust D.S., Busse O., Jauss M., and Laun A. Space-occupying cerebellar infarction. Clinical course and prognosis. Stroke 25 (1994) 372-374
119. Koh M.G., Phan T.G., Atkinson J.L., and Wijdicks E.F. Neuroimaging in deteriorating patients with cerebellar infarcts and mass effect. Stroke 31 (2000) 2062-2067
120. Mathew P., Teasdale G., Bannan A., and Oluoch-Olunya D. Neurosurgical management of cerebellar haematoma and infarct. J Neurol Neurosurg Psychiatry 59 (1995) 287-292
121. Heros R.C. Surgical treatment of cerebellar infarction. Stroke 23 (1992) 937-938
122. Jauss M., Krieger D., Hornig C., Schramm J., and Busse O. Surgical and medical management of patients with massive cerebellar infarctions: results of the German-Austrian Cerebellar Infarction study. J Neurol 246 (1999) 257-264
123. Jauss M., Muffelmann B., Krieger D., Zeumer H., and Busse O. A computed tomography score for assessment of mass effect in space-occupying cerebellar infarction. J Neuroimaging 11 (2001) 268-271
124. Feely M.P. Cerebellar infarction. Neurosurgery 4 (1979) 7-11
125. Auer L.M., Auer T., and Sayama I. Indications for surgical treatment of cerebellar haemorrhage and infarction. Acta Neurochir (Wien) 79 (1986) 74-79
126. Cioffi F.A., Bernini F.P., Punzo A., and D'Avanzo R. Surgical management of acute cerebellar infarction. Acta Neurochir (Wien) 74 (1985) 105-112
127. Kudo H., Kawaguchi T., Minami H., Kuwamura K., Miyata M., and Kohmura E. Controversy of surgical treatment for severe cerebellar infarction. J Stroke Cerebrovasc Dis 16 (2007) 259-262
128. Lavallee P.C., Meseguer E., Abboud H., et al. A transient ischaemic attack clinic with round-the-clock access (SOS-TIA): feasibility and effects. Lancet Neurol 6 (2007) 953-960
129. Rothwell P.M., Giles M.F., Chandratheva A., et al. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet 370 (2007) 1432-1442
130. Goldstein L.B., Adams R., Alberts M.J., et al. Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group: the American Academy of Neurology affirms the value of this guideline. Stroke 37 (2006) 1583-1633
131. Sacco R.L., Adams R., Albers G., et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Stroke 37 (2006) 577-617
132. Adams R.J., Albers G., Alberts M.J., et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke 39 (2008) 1647-1652