Atypical Cerebellar Stroke Recognition in the Emergency Department: Recurrent Cerebellar and Parietal Infarction in a Young Adult

Ischemic stroke is a spontaneous vascular event in which a blockage in neural circulation results in the death of neural tissue and deterioration in function of that tissue. Ischemic stroke of the cerebellum is often asymptomatic or presents mild, nonspecific symptoms, such as nausea and dizziness, which poses a challenge in identifying the patient as a stroke case. The authors present a case of a 34-year-old male cerebellar stroke patient with a consistent history of ischemic strokes who presented specific, diagnosable symptoms such as facial paralysis and dysarthria upon arrival at the emergency room, in contrast to the standard symptoms of cerebellar strokes. The patient also had a medium-sized right parietal lobe infarction. In this paper, ischemic stroke symptoms, risk factors, diagnosis, treatment, and recurrence prevention are discussed.