A high suspicion of AICA infarction should be considered in managing patients with acute vertigo and limb dysmetria, especially in patients with risk factors for stroke.
In addition, atrophy of the thalamencephalon which presents close connection with the motor-sensory cortex of the brain may occur secondary to the unilateral cerebral cortical infarction.
Conclusion: There is insulin resistance in patients with cerebral lacunal infarction.Cerebral insulin resistance may be one of its risk factors for cerebral lacunal infarction.