{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T05:18:21Z","timestamp":1739942301988,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Vertebrobasilar insufficiency revascularization has long been a preventive treatment for cerebral infarction. However, no studies have demonstrated the efficacy of revascularization in patients with cerebellar ischemia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>We present the case of a 77-year-old Japanese man who experienced seven recurrent cerebellar infarctions over 2\u00a0years. Severe stenosis was noted at the origin of the common trunk of the posterior inferior cerebellar artery and anterior inferior cerebellar artery. Patients with cerebral infarctions are resistant to medical treatment. Blood flow evaluation showed that the area of reduced cerebrovascular reactivity corresponded to the area where repeated small infarctions occurred. An occipital artery\u2013posterior inferior cerebellar artery bypass was performed to prevent another infarction. Postoperative single-photon emission computed tomography showed an improved cerebrovascular reactivity. No ischemic events occurred during 2\u00a0years of a postoperative follow-up period.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Occipital artery\u2013posterior inferior cerebellar artery bypass is an effective treatment method for vascular stenosis and decreased blood circulation due to posterior circulation ischemia.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s13256-025-05092-7","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T17:16:31Z","timestamp":1739898991000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Occipital artery\u2013posterior inferior cerebellar artery bypass for anterior inferior cerebellar artery stenosis with repeated cerebellar ischemic stroke: a case report"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2669-8965","authenticated-orcid":false,"given":"Hiroki","family":"Eguchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Arai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takakazu","family":"Kawamata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"5092_CR1","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1161\/01.STR.8.3.383","volume":"8","author":"CR Archer","year":"1977","unstructured":"Archer CR, Horenstein S. Basilar artery occlusion: clinical and radiological correlation. Stroke. 1977;8:383\u201390.","journal-title":"Stroke"},{"key":"5092_CR2","doi-asserted-by":"publisher","first-page":"554","DOI":"10.3171\/jns.1990.72.4.0554","volume":"72","author":"JI Ausman","year":"1990","unstructured":"Ausman JI, Diaz FG, Vacca DF, Sadasivan B. Superficial temporal and occipital artery bypass pedicles to superior, anterior inferior, and posterior inferior cerebellar arteries for vertebrobasilar insufficiency. J Neurosurg. 1990;72:554\u20138.","journal-title":"J Neurosurg"},{"key":"5092_CR3","first-page":"117","volume":"52","author":"NEF Cartlidge","year":"1977","unstructured":"Cartlidge NEF, Whisnant JP, Elveback LR. Carotid and vertebral-basilar transient cerebral ischemic attacks. A community study, Rochester, Minnesota. Mayo Clin Proceed. 1977;52:117\u201320.","journal-title":"Mayo Clin Proceed."},{"key":"5092_CR4","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1212\/WNL.33.5.552","volume":"33","author":"LR Caplan","year":"1983","unstructured":"Caplan LR. Bilateral distal vertebral artery occlusion. Neurology. 1983;33:552\u20138.","journal-title":"Neurology"},{"key":"5092_CR5","doi-asserted-by":"publisher","first-page":"955","DOI":"10.3171\/jns.1992.76.6.0955","volume":"76","author":"A Ogawa","year":"1992","unstructured":"Ogawa A, Kameyama M, Muraishi K, Yoshimoto T, Ito M, Sakurai Y. Cerebral blood flow and metabolism following superficial temporal artery to superior cerebellar artery bypass for vertebrobasilar occlusive disease. J Neurosurg. 1992;76:955\u201360.","journal-title":"J Neurosurg"},{"key":"5092_CR6","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1620\/tjem.164.183","volume":"164","author":"A Ogawa","year":"1991","unstructured":"Ogawa A, Yoshimoto T, Sakurai Y. Clinical analysis of STA-SCA bypass for vertebrobasilar occlusive disease. Tohoku J Exp Med. 1991;164:183\u201390.","journal-title":"Tohoku J Exp Med"},{"key":"5092_CR7","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1080\/01616412.1981.11739591","volume":"3","author":"G Khodadad","year":"1981","unstructured":"Khodadad G. Short- and long-term results of microvascular anastomosis in the vertebrobasilar system, a critical analysis. Neurol Res. 1981;3:33\u201365.","journal-title":"Neurol Res"},{"key":"5092_CR8","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1080\/01616412.1985.11739707","volume":"7","author":"V Olteanu-Nerbe","year":"1985","unstructured":"Olteanu-Nerbe V, Schmiedek P, Marguth F. Extra-intracranial bypass surgery for vertebrobasilar insufficiency due to obstructive vertebral artery and vertebral-basilar artery junction disease. Neurol Res. 1985;7:93\u20137.","journal-title":"Neurol Res"},{"key":"5092_CR9","doi-asserted-by":"publisher","first-page":"662","DOI":"10.3171\/jns.1987.66.5.0662","volume":"66","author":"LN Hopkins","year":"1987","unstructured":"Hopkins LN, Martin NA, Hadley MN, Spetzler RF, Budny J, Carter LP. Vertebrobasilar insufficiency. Part 2: microsurgical treatment of intracranial vertebrobasilar disease. J Neurosurg. 1987;66:662\u201374.","journal-title":"J Neurosurg"},{"key":"5092_CR10","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1007\/s00381-004-0924-4","volume":"20","author":"S Kuroda","year":"2004","unstructured":"Kuroda S, Houkin K, Ishikawa T, Nakayama N, Ikeda J, Ishii N, Kamiyama H, et al. Determinants of intellectual outcome after surgical revascularization in pediatric Moyamoya disease: a multivariate analysis. Child Nerv Syst. 2004;20:302\u20138.","journal-title":"Child Nerv Syst"},{"key":"5092_CR11","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1148\/90.2.281","volume":"90","author":"M Takahashi","year":"1968","unstructured":"Takahashi M, Wilson G, Hanafee W. The anterior inferior cerebellar artery: its radiographic anatomy and significance in the diagnosis of extra-axial tumors of the posterior fossa. Radiology. 1968;90:281\u20137.","journal-title":"Radiology"},{"key":"5092_CR12","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1161\/01.STR.24.1.76","volume":"24","author":"CS Kase","year":"1993","unstructured":"Kase CS, Norrving B, Levine SR, Babikian VL, Chodosh EH, Wolf PA, Welch KM, et al. Cerebellar infarction. Clinical and anatomic observations in 66 cases. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"62"}}