Document Detail


Isolated vascular vertigo.
MedLine Citation:
PMID:  25328871     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Strokes in the distribution of the posterior circulation may present with vertigo, imbalance, and nystagmus. Although the vertigo due to a posterior circulation stroke is usually associated with other neurologic symptoms or signs, small infarcts involving the cerebellum or brainstem can develop vertigo without other localizing symptoms. Approximately 11% of the patients with an isolated cerebellar infarction present with isolated vertigo, nystagmus, and postural unsteadiness mimicking acute peripheral vestibular disorders. The head impulse test can differentiate acute isolated vertigo associated with cerebellar strokes (particularly within the territory of the posterior inferior cerebellar artery) from more benign disorders involving the inner ear. Acute audiovestibular loss may herald impending infarction in the territory of anterior inferior cerebellar artery. Appropriate bedside evaluation is superior to MRIs for detecting central vascular vertigo syndromes. This article reviews the keys to diagnosis of acute isolated vertigo syndrome due to posterior circulation strokes involving the brainstem and cerebellum.
Authors:
Hyung Lee
Publication Detail:
Type:  Journal Article; Review     Date:  2014-09-30
Journal Detail:
Title:  Journal of stroke     Volume:  16     ISSN:  2287-6391     ISO Abbreviation:  J Stroke     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-10-20     Completed Date:  2014-10-20     Revised Date:  2014-10-22    
Medline Journal Info:
Nlm Unique ID:  101602023     Medline TA:  J Stroke     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  124-30     Citation Subset:  -    
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