PMC5376417_01
Axial diffusion weighted imaging sequence of a magnetic resonance imaging scan of the brain demonstrates hyperintensity in various brain areas. Those findings are consistent with an acute stroke in the left medullary restiform body (1) and left cerebellar hemisphere (2).
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Magnetic resonance imaging (Figure 1) revealed an acute infarction in the left cerebellar tonsil, left cerebellar hemisphere, and left medullary restiform body, in the territory of the left posterior inferior cerebellar artery (PICA).
Telemetry strip during one of the syncope episodes showing a junctional escape beat overlaying a sinus arrest (6-second pause) proceeded by premature atrial contractures.
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During the events, the patient was witnessed to have sinus arrest, lasting up to 6 seconds, with an intermittent junctional escape rhythm (Figure 2).