PMID: 8967109Feb 1, 1996Paper

Vertigo of cerebrovascular origin proven by CT scan or MRI: pitfalls in clinical differentiation from vertigo of aural origin

Yonsei Medical Journal
G W Kim, J H Heo

Abstract

To get a better insight into the clinical differentiation between vertigo of cerebrovascular origin and of aural origin, we investigated radiologically proven stroke patients who presented with vertigo as an initial clinical manifestation. Of 154 stroke patients, 30 patients with vertigo (20%) had the relevant lesion, demonstrated with the initial computerized tomographic scan (13 patients) or the follow-up magnetic resonance imaging (MRI) study (17 patients) of the brain. Every lesion was in the vertebrobasilar arterial territory; 19 in the cerebellum, 8 in the pons, and 3 in the medulla oblongata. Although 12 of the 30 patients (40%) presented with vertigo in isolation at the onset of stroke, eight patients (27%) developed additional neurologic abnormalities from four hours to seven days later. Patients with isolated vertigo (13%) had the small lesion exclusively in the cerebellum of the PICA medial branch territory. The most frequent accompanying neurological sign was swaying in the cerebellar and medullary lesion, and dysarthria in the pontine lesion. The direction of nystagmus or swaying did not match the lesion side in some patients. Our findings suggest that cerebellar stroke may commonly manifest isolated vertigo or ver...Continue Reading

Citations

Feb 5, 2013·Medizinische Klinik, Intensivmedizin und Notfallmedizin·C Dodt, E Zelihic
Apr 19, 2016·The Journal of Laryngology and Otology·Y OgawaM Suzuki
Aug 9, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ryosuke DoijiriKazuyuki Nagatsuka
Jul 21, 2000·The Annals of Otology, Rhinology, and Laryngology·L W WelshB Lewin
Sep 2, 2006·Stroke; a Journal of Cerebral Circulation·Kevin A KerberLewis B Morgenstern
Oct 20, 2018·Emergency Medicine Journal : EMJ·Alisha Greer, Mark Hewitt

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxias

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on different types of ataxias here.