of posterior circulations
artery.
• It supplies the inner ear
• Occlusion of this artery can lead
to sudden tinnitus, vertigo or
even unilateral ipsilateral
deafness !!!
PICA Occlusion
(Lateral Medullary syndrome Of Wallenberg )
At the level of dorso-
lateral part of
medulla
& Cerebellum
PICA Occlusion
(Lateral Medullary syndrome Of Wallenberg )
• The commonest of brainstem strokes!
Prognosis is generally quite good with full or near full recovery expected at 6 months.
CTscan showing lesion in Medulla & Cerebellum
in Wallenberg Syndrome
Vertebral artery occlusion
• Can also give
Wallenberg’s
syndrome
Thalamic infarction
(Dejerine-Roussy syndrome or central pain
synrome)
PCA Pentrating branches to thalamus
• Very sad syndrome
• Manifestation : pure sensory
loss without weakness :
due to lesion of
(CONTRLATERAL: WHY?
Crossing below thalamus)
PCA
- Hemilateral sensory loss of all
modalities
- Hemilateral pain
( hypersensitivity) :
if you touch their affected side, they
will shout !
MRI
MRI of
of the
the patient
patient II day
day after
after