Posterior Inferior Cerebellar Artery Syndrome (PICA) is a medical condition caused by the blockage or malfunctioning of the posterior inferior cerebellar artery. This vital artery supplies oxygen-rich blood to the cerebellum, part of the brain responsible for balance and coordination. PICA syndrome may result in various symptoms, including dizziness, difficulty swallowing, problems with speech, loss of balance, and a reduction in muscle strength. Synonyms for this condition, often used interchangeably, include PICA infarction, cerebellar artery syndrome, and posterior inferior cerebellar artery stroke. Recognizing these synonyms is essential for accurate diagnosis and appropriate treatment to minimize the potential impact of PICA syndrome on an individual's well-being.