scholarly journals Infarction in the territory of the medial branch of the posterior inferior cerebellar artery-Two cases mimicking acute peripheral vertigo-

2009 ◽  
Vol 68 (3) ◽  
pp. 131-137 ◽  
Author(s):  
Taisuke Kobayashi ◽  
Masahiro Okada
Nosotchu ◽  
2001 ◽  
Vol 23 (2) ◽  
pp. 169-173 ◽  
Author(s):  
Katsuhiko Ogawa ◽  
Tomohiko Mizutani ◽  
Yutaka Suzuki ◽  
Satoshi Kamei

2021 ◽  
Vol 26 (4) ◽  
pp. 853-857
Author(s):  
Vishal Pawar ◽  
Aishwarya Anand ◽  
Prasanna Kulkarni ◽  
Ji Soo Kim

A 66-year-old hypertensive and diabetic male presented with acute vestibular syndrome for three days. HINTS plus examination was performed. The horizontal head impulse test was positive on the left side. Video oculography showed centripetal nystagmus on gaze testing in the dark and test of skew was negative. There was no new hearing loss on the finger rub test. On neurological examination, he had severe postural instability and saccadic smooth pursuit. Radio-imaging studies were conducted to rule out the possibility of stroke. CT brain showed infarction in the territory of the medial branch of the right posterior inferior cerebellar artery. MRI brain confirmed the diagnosis. Thus, posterior circulation stroke can present with acute vestibular syndrome mimicking acute unilateral vestibulopathy. However, the presence of associated neurological symptoms like gait ataxia, centripetal nystagmus and vascular risk factors pointed towards a central cause. Clinical evaluation suggesting a peripheral lesion should never be taken in isolation and needs to be correlated with other associated signs. We describe centripetal nystagmus without fixation as a new oculomotor sign in acute vestibular syndrome.


2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Francisco Monteiro ◽  
Pedro Oliveira ◽  
Artur Condé

This paper presents a case of a perfectly healthy 36-year-old male, who went to the emergency department with a clinical picture of diffuse headache, dizziness, and asthenia with 3 days of evolution, after a long cycling race. He was admitted to the ENT Department with suspected diagnosis of peripheral vertigo. The patient developed hypoesthesia of the face, diplopia, right lateropulsion, and Romberg with preferential rightward fall, and imaging studies demonstrated an extracranial vertebral artery dissection concomitant with PICA territory infarction. This is a rare described case of a vertebral artery dissection concomitant with an infarction of the PICA territory. This case demonstrates the importance of maintaining a high degree of suspicion of stroke in patients with signs/symptoms of nystagmus/vertigo and the relevance of magnetic resonance imaging instead of tomography in the detection of these serious clinic conditions.


1990 ◽  
Vol 53 (9) ◽  
pp. 731-735 ◽  
Author(s):  
P Amarenco ◽  
E Roullet ◽  
M Hommel ◽  
P Chaine ◽  
R Marteau

2020 ◽  
Author(s):  
Fabio Frisoli ◽  
Joshua S. Catapano ◽  
Stefan Koester ◽  
Gabriella Paisan ◽  
Michael Lang ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. e238120
Author(s):  
Christopher Houle ◽  
Varun Reddy

This report describes a patient who developed intraprocedural vascular stasis immediately following elective endovascular coil emboliation. Urgent antiplatelet treatment with the GpIIb/IIIa agent tirofiban was used. It was infused intra-arterially during the procedure, followed by a fixed rate intravenous continuous infusion, and successfully restored normal circulation. There were no reports of further bleeding or haemodynamic compromise during the hospital stay. The patient’s condition returned to baseline and he was discharged the following day with no neurological deficits.


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