Bilateral Superior Cerebellar Artery Embolic Occlusion with
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Bilateral infarction of the superior cerebellar arteries (SCAs) with sparing of the rest of the posterior circulation, particularly the posterior cerebral arteries, is an uncommon finding in neurological practice. Typically, an embolism large enough to occlude both SCAs at the top of the basilar artery would also infarct the posterior cerebral vasculature. This case presents a departure from the presentation of a traditional posterior circulation cerebral infarction most likely as a result of a rare vascular anomaly rooted in an aberrant embryological process.

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