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Isolated labyrinthine infarction as a harbinger of anterior inferior cerebellar artery territory infarction with normal diffusion-weighted brain MRI

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Author(s)
Ji Soo KimKyung-Hee ChoHyung Lee
Keimyung Author(s)
Cho, Kyung HeeLee, Hyung
Department
Dept. of Neurology (신경과학)
Brain Research Institute (뇌연구소)
Journal Title
Journal of the Neurological Sciences
Issued Date
2009
Volume
278
Issue
1-2
Keyword
Inner earAnterior inferior cerebellar arteryInfarctionProdrome
Abstract
Objectives:

This paper aims to determine the frequency of isolated labyrinthine infarction as an initial manifestation of anterior inferior cerebellar artery (AICA) territory infarction and discuss its clinical implication.


Methods:

We studied 54 consecutive patients with AICA infarction diagnosed by brain MRI from the acute stroke registry.


Results:

We identified 4 patients (7.4%) with AICA territory infarction who initially presented with vertigo and hearing loss mimicking acute labyrinthitis and subsequently suffered from delayed neurological deficits. All patients had normal brain MRIs including diffusion-weighted images at the time of isolated audiovestibular loss, but all subsequently exhibited acute infarct(s) in the AICA territory on follow-up brain MRIs when they developed additional neurological deficits.


Conclusion:

Labyrinthine infarction may be a warning sign of impending pontocerebellar infarction in the AICA territory. Our results indicate that even a classical peripheral presentation, e.g., acute hearing loss, and acute vertigo with unidirectional nystagmus, may be a manifestation of ischemic stroke in the posterior circulation.
Keimyung Author(s)(Kor)
조경희
이형
Publisher
School of Medicine
Citation
Ji Soo Kim et al. (2009). Isolated labyrinthine infarction as a harbinger of anterior inferior cerebellar artery
territory infarction with normal diffusion-weighted brain MRI. Journal of the Neurological Sciences, 278(1–2), 82–84. doi: 10.1016/j.jns.2008.12.002
Type
Article
ISSN
0022-510X
Source
https://www.sciencedirect.com/science/article/pii/S0022510X08005959?via%3Dihub
DOI
10.1016/j.jns.2008.12.002
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34277
Appears in Collections:
3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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