{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:10:02Z","timestamp":1756275002291,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,12,9]]},"abstract":"<jats:p>We report a rare presentation of an anterior inferior cerebellar artery (AICA) infarct in a 74-year-old woman with acute-onset nausea, vomiting, vertigo and gait instability long before the full onset of symptoms and a negative MRI on admission. Over the next several days the patient developed left facial weakness, numbness, hypoacusis, and limb and gait ataxia, and was found to have acute infarcts of the left pons and cerebellar peduncle consistent with an AICA syndrome. We discuss this rare stepwise presentation in AICA syndrome and possible underlying pathophysiology. Such patients at risk for cerebrovascular disease should undergo a careful history, exam and follow-up, even with negative MRI findings, as their symptoms may precede a serious vascular event.<\/jats:p>","DOI":"10.1136\/bcr-2017-223402","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T23:30:31Z","timestamp":1516750231000},"page":"bcr-2017-223402","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare presentation of AICA syndrome"],"prefix":"10.1136","volume":"2018","author":[{"given":"Syed H","family":"Shabbir","sequence":"first","affiliation":[{"name":"Department of Neurology, Montefiore Hospital and Medical Center, Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faryal","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Department of Medicine, Capital Health Regional Medical Center, Trenton, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Labovitz","sequence":"additional","affiliation":[{"name":"Department of Neurology, Montefiore Hospital and Medical Center, Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,23]]},"reference":[{"key":"2025082622564135000_2018.jan23_1.bcr-2017-223402.1","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1943.02290170135010"},{"key":"2025082622564135000_2018.jan23_1.bcr-2017-223402.2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/113.1.139"},{"key":"2025082622564135000_2018.jan23_1.bcr-2017-223402.3","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198005000-00001"},{"key":"2025082622564135000_2018.jan23_1.bcr-2017-223402.4","doi-asserted-by":"crossref","first-page":"61","DOI":"10.5853\/jos.2016.00857","article-title":"Recent advances in understanding audiovestibular loss of a vascular cause","volume":"19","author":"Kim","year":"2017","journal-title":"J Stroke"},{"key":"2025082622564135000_2018.jan23_1.bcr-2017-223402.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2008.12.002"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:56:48Z","timestamp":1756274208000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,23]]},"references-count":5,"alternative-id":["10.1136\/bcr-2017-223402"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223402","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,1,23]]}}}