skip to main content

Cerebellar stroke — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

HardNeurological emergenciesCerebellar strokeABEM Board

A 59-year-old man arrives as ESI 2 with vertigo, vomiting, and inability to walk. BP 176/92, HR 88. He has direction-changing nystagmus and limb ataxia; CT head is negative. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Cerebellar stroke

Inability to ambulate, direction-changing nystagmus, severe ataxia, and vascular risk factors suggest posterior circulation stroke despite negative early CT.

Reference: AHA/ASA stroke guidance; GRACE-3 dizziness guideline