Right Superior Cerebelar Artery Occlusion After Ptca Procedure : A Case Report

Marbun W* , Tangkudung G**, Maja J***

Abstract

PTCA (Percutaneus Transluminal Coronary Angioplasty) is a useful technique for the treatment of coronary artery stenosis. The procedure has its recognized complications, especially thromboembolism. We present a case of 75 years old female, hypertensive with crossed signs. The clinical signs of cerebellar lesion was caused by occlusion of SCA which subsequently caused  a cerebellar infarction. The infarction occurred after PTCA induced thromboembolism which interrupted the posterior circulation. The case report reiterates the complications of PTCA and warrants early recognitation of such cases which could have benefited from intra-arterial thrombolysis (IAT) with possible endovascular neurointervention.

Keywords: PTCA, Cerebella Infarct, Crossed Signs, IAT, Neurointervention

*Resident Department of  Neurology, Prof R D Kandouw Hospital, Manado , Indonesia
**Consultant  Department of  Neurology, Prof R D Kandouw Hospital, Manado, Indonesia
*** Senior Consultant Department of  Neurology, Prof R D Kandouw Hospital, Manado, Indonesia