Case Report

57 Year old Man who was previously healthy presented with sudden onset of slurring of speech with difficulty in walking with swaying to right since 3 days. There was mild holocranial headache along with it without vomiting. Past history of systemic hypertension since 5 years on medications with good control. No history of Smoking, Neck trauma, Cardiac illness or any other vascular risk factors. On General examination he had Conjuctival hyperemia. Neurological Examination showed gaze evoked nystagmus more towards right with dysarthria. There was intention tremor in right upper limb with dysmetria, wide based gait ataxia and swaying to right on walking with inability to perform the tandem walk test. Cardiovascular system examination was normal. There was no hepatosplenomegaly. In view of sudden onset Slurring of speech with right sided cerebellar signs a diagnosis of Cerebrovascular Accident involving the posterior circulation was considered.

MRI scan of the Brain (1.5 Tesla) was done which showed Right cerebellar Acute Infarct without mass effect or hemorrhagic transformation.

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Praveen Kumar Yadav

Consultant Neurologist and In Charge, Department of Neuromedicine

The Mission Hospital, Durgapur