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Acute vestibular syndrome in cerebellar stroke: A case report and review of the literature

The current paper reports on a patient with recurrent rotational vertigo and persistent dizziness and imbalance lasting several weeks, who underwent extensive neuro-otological and radiological examinations. Pathological findings initially included right-sided benign paroxysmal positional vertigo (BP...

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Bibliographic Details
Published in:HNO 2017-08, Vol.65 (Suppl 2), p.149-152
Main Authors: Volgger, V., Gürkov, R.
Format: Article
Language:English
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Summary:The current paper reports on a patient with recurrent rotational vertigo and persistent dizziness and imbalance lasting several weeks, who underwent extensive neuro-otological and radiological examinations. Pathological findings initially included right-sided benign paroxysmal positional vertigo (BPPV), persistent horizontal spontaneous nystagmus (SPN) to the left, and a pathological bedside and video head impulse test (HIT) on the left. The pathological HIT on the left and the SPN to the left indicated a central origin. Therefore, cranial magnetic resonance imaging was performed which revealed a left-sided ischemic stroke in the territory of the medial branch of the posterior inferior cerebellar artery (mPICA).
ISSN:0017-6192
1433-0458
DOI:10.1007/s00106-016-0315-7