Cerebellar infarctions are relatively rare and account for ≈2% of all ischemic strokes. Possible pathogeneses include cardiac emboli, atherosclerosis of the great vessels, dissection of the vertebral artery, local arterial disease and, less commonly, hypercoagulable states, vasculitis, venous sinus thrombosis, and drug use.Cerebellar infarcts require notable observation because of the risk of cerebral edema in the posterior fossa. The initial symptoms of cerebellar infarction or cerebellar hemorrhage may be nonspecific, such as headache, dizziness, nausea, vomiting, and vertigo. > Fifty percent of cerebellar infarctions are associated with nausea and vomiting, and ≈75% of these are associated with dizziness. The clinical and imaging features of patients with cerebellar infarction may be helpful in clinical decision-making.