Vertigo and upside down vision due to an infarct in the territory of the medial branch of the posterior inferior cerebellar artery caused by dissection of a vertebral artery.
A 48 year old woman developed an acute vestibular syndrome associated with upside down vision a few hours after minor cervical trauma. Magnetic resonance imaging showed an ischaemic lesion in the territory of the medial branch of the posterior inferior cerebellar artery. An arteriogram showed a dissection of the left extracranial vertebral artery.
Charles
N
N
Clinique de Neurologie, Hôpital Neurologique P Wertheimer, Lyons, France.
Froment
C
C
Rode
G
G
Vighetto
A
A
Turjman
F
F
Trillet
M
M
Aimard
G
G
D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000000981:diagnostic imaging*; D005260:Female; D016489:Head Injuries, Closed / Q000000981:diagnostic imaging; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging*; D008875:Middle Aged; D009460:Neurologic Examination; D009949:Orientation / Q000502:physiology*; D014711:Vertebral Artery / Q000000981:diagnostic imaging* / Q000293:injuries; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging*; D014717:Vertigo / Q000000981:diagnostic imaging*; D014786:Vision Disorders / Q000000981:diagnostic imaging*