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Acute peripheral vestibular syndrome of a vascular cause

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Author(s)
Hyun-Ah KimSeong-Ryong LeeHyung Lee
Keimyung Author(s)
Kim, Hyun AhLee, HyungLee, Seong Ryong
Department
Dept. of Neurology (신경과학)
Dept. of Pharmacology (약리학)
Brain Research Institute (뇌연구소)
Journal Title
Journal of the Neurological Sciences
Issued Date
2007
Volume
254
Issue
1-2
Keyword
Acute peripheral vestibular syndromeVascular causeVertebrobasilar
Abstract
Background:

Acute peripheral vestibular syndrome (APVS) is an idiopathic peripheral vestibulopathy characterized by prolonged vertigo (over 24 h), nausea, vomiting, and postural instability. There has been no previous report of APVS presumably of a vascular cause.


Objectives
:
To describe APVS presumably resulting from a vascular disturbance with embolic cerebral infarction.


Patient:

A 67-year-old woman developed sudden onset of severe isolated vertigo, nausea, and vomiting, which lasted for 3 days. Ten days earlier, she had had 4 episodes of transient vertigo lasting a few minutes. She had a spontaneous right-beating horizontal nystagmus with a torsional component, in the primary position and on gaze to the right or left. Caloric test showed a decreased response on the left side. Diffusion-weighted brain MRI showed 2 tiny acute infarcts in the left hippocampus and basal ganglia. Magnetic resonance angiogram showed no abnormalities. Continuous electrocardiographic monitoring for 24 h showed paroxysmal atrial fibrillation.


Conclusion:

In this patient, clinical and laboratory findings were consistent with APVS. Considering the simultaneous onset of acute silent infarcts on brain MRI, the definite cardioembolic source with atrial fibrillation, and the episodic transient vertigo attacks before APVS, we speculate that small emboli arising from the heart may have lodged selectively in the anterior vestibular artery, producing APVS.
Keimyung Author(s)(Kor)
김현아
이형
이성용
Publisher
School of Medicine
Citation
Hyun-Ah Kim et al. (2007). Acute peripheral vestibular syndrome of a vascular cause. Journal of the Neurological Sciences, 254(1–2), 99–101. doi: 10.1016/j.jns.2006.12.015
Type
Article
ISSN
0022-510X
Source
https://www.sciencedirect.com/science/article/pii/S0022510X06005892?via%3Dihub
DOI
10.1016/j.jns.2006.12.015
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34279
Appears in Collections:
3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Pharmacology (약리학)
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