Key result
DAPT and high-intensity statin therapy resolve delayed post-AICA stroke facial palsy within 1 month.
Case Report (n=1)
No
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A case report reveals delayed facial palsy after ischemic stroke in an older male, suggesting rare complications.
A 76-year-old male presented with dizziness and disequilibrium. Magnetic resonance imaging revealed an acute ischemic stroke in the left anterior inferior cerebellar artery (AICA) territory. Three days after admission the patient developed peripheral facial palsy with no radiological exacerbation of the infarction. He was managed with antiplatelet therapy and supportive care. Both the facial palsy and initial cerebellar symptoms resolved within 1 month. This case highlights delayed facial palsy as a rare presentation of AICA infarction.
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Hwang et al. (2026) conducted a case report in Delayed peripheral facial palsy after acute ischemic stroke in the anterior inferior cerebellar artery territory (n=1). Dual antiplatelet therapy (aspirin and clopidogrel), high-intensity statin, and supportive care was evaluated on Resolution of peripheral facial palsy and initial cerebellar symptoms. Conservative management with dual antiplatelet and high-intensity statin therapy resolved delayed House-Brackmann grade IV peripheral facial palsy within 1 month in a 76-year-old male with AICA stroke.
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