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Vertigo Due to Posterior Circulation Stroke

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Author(s)
Ji Soo KimHyung Lee
Keimyung Author(s)
Lee, Hyung
Department
Dept. of Neurology (신경과학)
Brain Research Institute (뇌연구소)
Journal Title
Seminar in Neurology
Issued Date
2013
Volume
33
Issue
3
Keyword
vertigostrokeposterior circulationbrainstemcerebellum
Abstract
Stroke in the distribution of the posterior circulation may present as acute onset spontaneous vertigo and imbalance. Although vertigo due to posterior circulation stroke is usually associated with other neurologic symptoms or signs, small infarcts in the cerebellum or brainstem can present with vertigo without other localizing symptoms. Approximately 17% of patients with isolated posterior inferior cerebellar artery territory infarction presented with isolated vertigo, nystagmus, and postural unsteadiness. A head impulse test can differentiate acute isolated vertigo associated with cerebellar stroke from more benign disorders involving the inner ear. Sometimes acute isolated audiovestibular loss can be the initial symptom of impending posterior circulation ischemic stroke (particularly within the territory of the anterior inferior cerebellar artery). In this case, evaluation of isolated audiovestibular loss may prevent the progression of acute vertigo and hearing loss into more widespread areas of infarction in the posterior circulation. In this article, the clinical syndromes and signs of acute vestibular syndrome due to posterior circulation stroke involving the brainstem and cerebellum are summarized.
Keimyung Author(s)(Kor)
이형
Publisher
School of Medicine
Citation
Ji Soo Kim and Hyung Lee. (2013). Vertigo Due to Posterior Circulation Stroke. Seminar in Neurology, 33(3), 179–184. doi: 10.1055/s-0033-1354600
Type
Article
ISSN
0271-8235
Source
http://lps3.www.thieme-connect.com.proxy.dsmc.or.kr/DOI/DOI?10.1055/s-0033-1354600
DOI
10.1055/s-0033-1354600
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34380
Appears in Collections:
3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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