계명대학교 의학도서관 Repository

Vertigo Due to Vascular Mechanisms

Metadata Downloads
Affiliated Author(s)
김현아이형
Alternative Author(s)
Kim, Hyun AhLee, Hyung
Journal Title
Seminars in Neurology
ISSN
0271-8235
Issued Date
2020
Keyword
dizzinessvertigostrokeinfarction
Abstract
Isolated dizziness and vertigo due to vascular mechanisms are frequently misdiagnosed as peripheral vestibulopathy or vestibular migraine. For diagnosis of strokes presenting with an acute prolonged (≥ 24 hours) vestibular syndrome, findings on clinical examination, such as HINTS (negative head impulse tests, detection of direction-changing gaze-evoked nystagmus, and presence of skew deviation), are more sensitive than findings on neuroimaging. Since HINTS alone cannot securely detect anterior inferior cerebellar artery strokes, additional attention should be paid to the patients with unexplained hearing loss in addition to acute prolonged vestibulopathy. For diagnosis of transient (< 24 hours) spontaneous vestibular syndrome due to vascular mechanisms, the presence of associated craniocervical pain and focal neurological symptoms/signs is the clue. Even without these symptoms or signs, however, vascular imaging combined with perfusion- and diffusion-weighted MRI should be performed in patients with multiple vascular risk factors or a high ABCD2 score (age, blood pressure, clinical features, duration of symptom, and presence of diabetes).
Department
Dept. of Neurology (신경과학)
Publisher
School of Medicine (의과대학)
Citation
Hyun Ah Kim et al. (2020). Vertigo Due to Vascular Mechanisms. Seminars in Neurology, 40(1), 67–75. doi: 10.1055/s-0039-3402737
Type
Article
ISSN
0271-8235
DOI
10.1055/s-0039-3402737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42746
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록
  • 관련 파일이 존재하지 않습니다.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.