Acute Diagnosis and Management of Stroke Presenting Dizziness or Vertigo

Seung Han Lee, Ji Soo Kim

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

Stroke involving the brainstem and cerebellum frequently presents acute vestibular syndrome. Although vascular vertigo is known to usually accompany other neurologic symptoms and signs, isolated vertigo from small infarcts involving the cerebellum or brainstem has been increasingly recognized. Bedside neuro-otologic examination can reliably differentiate acute vestibular syndrome due to stroke from more benign inner ear disease. Sometimes acute isolated audiovestibular loss may herald impending infarction in the territory of the anterior inferior cerebellar artery. Accurate identification of isolated vascular vertigo is very important because misdiagnosis of acute stroke may result in significant morbidity and mortality.

Original languageEnglish
Pages (from-to)687-698
Number of pages12
JournalNeurologic Clinics
Volume33
Issue number3
DOIs
StatePublished - 1 Aug 2015

Fingerprint

Vertigo
Dizziness
Stroke
Cerebellum
Blood Vessels
Labyrinth Diseases
Brain Stem Infarctions
Neurologic Manifestations
Diagnostic Errors
Infarction
Brain Stem
Arteries
Morbidity
Mortality

Keywords

  • Brainstem
  • Cerebellum
  • Head impulse test
  • Nystagmus
  • Stroke
  • Vertigo

Cite this

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abstract = "Stroke involving the brainstem and cerebellum frequently presents acute vestibular syndrome. Although vascular vertigo is known to usually accompany other neurologic symptoms and signs, isolated vertigo from small infarcts involving the cerebellum or brainstem has been increasingly recognized. Bedside neuro-otologic examination can reliably differentiate acute vestibular syndrome due to stroke from more benign inner ear disease. Sometimes acute isolated audiovestibular loss may herald impending infarction in the territory of the anterior inferior cerebellar artery. Accurate identification of isolated vascular vertigo is very important because misdiagnosis of acute stroke may result in significant morbidity and mortality.",
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Acute Diagnosis and Management of Stroke Presenting Dizziness or Vertigo. / Lee, Seung Han; Kim, Ji Soo.

In: Neurologic Clinics, Vol. 33, No. 3, 01.08.2015, p. 687-698.

Research output: Contribution to journalReview article

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AB - Stroke involving the brainstem and cerebellum frequently presents acute vestibular syndrome. Although vascular vertigo is known to usually accompany other neurologic symptoms and signs, isolated vertigo from small infarcts involving the cerebellum or brainstem has been increasingly recognized. Bedside neuro-otologic examination can reliably differentiate acute vestibular syndrome due to stroke from more benign inner ear disease. Sometimes acute isolated audiovestibular loss may herald impending infarction in the territory of the anterior inferior cerebellar artery. Accurate identification of isolated vascular vertigo is very important because misdiagnosis of acute stroke may result in significant morbidity and mortality.

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KW - Head impulse test

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