Medullary hemorrhage causing vertigo and gaze nystagmus.
Brainstem hematomas carry a poor prognosis. There are rare reports of excellent outcome with hemorrhages in the midbrain. We report a 43-year-old woman with vertigo and minimal neurological symptoms, whose symptoms were initially mistaken for "inner ear disease," but subsequent investigations revealed a medullary hemorrhage. Recovery was complete within two weeks. While rare, medullary hemorrhage should be considered in the differential diagnosis of vertigo.
Mazagri
R
R
Clinical Investigative Stroke Unit, Royal University Hospital, Saskatoon, Sk., Canada.
Shuaib
A
A
Denath
F M
FM
D000328:Adult; D001927:Brain Diseases / Q000150:complications / Q000000981:diagnostic imaging; D003951:Diagnostic Errors; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007762:Labyrinthitis / Q000175:diagnosis; D008526:Medulla Oblongata / Q000000981:diagnostic imaging*; D009759:Nystagmus, Pathologic / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014717:Vertigo / Q000209:etiology*