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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2025; 13(21): 103105
Published online Jul 26, 2025. doi: 10.12998/wjcc.v13.i21.103105
Published online Jul 26, 2025. doi: 10.12998/wjcc.v13.i21.103105
Massive cerebellar infarction caused by spontaneously isolated posterior inferior cerebellar artery dissection: A case report
Xu-Ming Huang, Department of Gastroenterology, Shenzhen Baoan Shiyan People’s Hospital, Shenzhen 518108, Guangdong Province, China
Yu-Qi Liao, Li-Ming Cao, Department of Neurology, The First Affiliated Hospital of Shenzhen University, Shenzhen 518000, Guangdong Province, China
Li-Ming Cao, Hunan Provincial Key Laboratory of The Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, Changsha 410219, Hunan Province, China
Co-first authors: Xu-Ming Huang and Yu-Qi Liao.
Author contributions: Cao LM conceived of and designed the study, reviewed the manuscript and acquired funding for this study; Huang XM, Liao YQ wrote the original draft; Huang XM, Liao YQ contributed equally to this work and share first authorship. All authors have read and approved the manuscript.
Supported by Shenzhen Second People’s Hospital Clinical Research Fund of Shenzhen High-level Hospital Construction Project, No. 20243357001.
Informed consent statement: The participant provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors confirm that they have no competing interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Ming Cao, MD, PhD, Professor, Department of Neurology, The First Affiliated Hospital of Shenzhen University, No. 3002 Sungang Road, Shenzhen 518000, Guangdong Province, China. caoliming@szseyy.com
Received: November 13, 2024
Revised: March 12, 2025
Accepted: April 9, 2025
Published online: July 26, 2025
Processing time: 169 Days and 16.8 Hours
Revised: March 12, 2025
Accepted: April 9, 2025
Published online: July 26, 2025
Processing time: 169 Days and 16.8 Hours
Core Tip
Core Tip: Diagnosis of posterior inferior cerebellar artery dissection (PICAD) can be challenging with conventional imaging methods like magnetic resonance angiography or computed tomographic angiography. High-resolution vessel wall magnetic resonance imaging is crucial for accurate diagnosis and follow-up. Aggressive conservative treatment may be effective and safe for managing PICAD, with significant recovery observed in the patient within 3 months.