Clinical manifestation from the clinical features of our 4 patients, they have several obvious common features, such as vertigo, ataxia, slurring speech, unsteady gait, and hearing loss.
| Cases | Age (years)/gender | Vascular risk factors | Symptoms/signs | Diagnose | Treatment | Outcome |
|---|---|---|---|---|---|---|
| 1 | 50/M | Hypertension, hypercholesterolemia, smoking and drinking history | Vertigo, slurred speech, right side numbness and weakness, unsteady gait, right hearing loss, right ataxia, right hemihypoestesia. left eye abduction dysfunction, and diplopia | Infarction of MCP | Angioplasty-stent placed, oral dual antiplatelet (acetylsalicylic acid and clopidogrel) | Relief in right side weakness and dysarthria, nystagmus and dyskinesia recovered significantly |
| 2 | 61/M | Hypertension, hypercholesterolemia, smoking and drinking history, atrial fibrillation | Vertigo, slurred speech, unsteady, standing instability, dysarthria, dysphagia, aspiration, bilateral hearing loss, and somnolence | Infarction of MCP | Angioplasty-stent placed, oral dual antiplatelet (acetylsalicylic acid and clopidogrel) | Physical activity significantly improved, hearing was restored. Ataxia persisted |
| 3 | 68/M | Hypertension, hypercholesterolemia, diabetes | Vertigo and severe ataxia, slurring of speech and unsteady gait, dysarthria, somnolence, hearing loss, unsteady gait, vomiting and nausea. bilateral horizontal nystagmus | Infarction of MCP | Oral dual antiplatelet (acetylsalicylic acid and clopidogrel) | Slight improvement in dysarthria, but there were significant ataxia and bilateral deafness |
| 4 | 51/M | Hypertension, hypercholesterolemia, diabetes | Vertigo, severe ataxia, slurring speech, unsteady gait, dysarthria, somnolence, hearing loss, bilateral horizontal nystagmus, ataxia of limbs and trunk | Infarction of MCP | Oral dual antiplatelet (acetylsalicylic acid and clopidogrel) | Still had ataxia, slurred speech, and gait instability |
MCP - Middle Cerebellar Peduncles, M - Male