Isolated vertiginous dysequilibrium due to bilateral caudal cerebellar infarction.
We present a 74-year-old woman who developed a sudden onset of vertigo, vomiting, and axial retropulsion without limb ataxia. A clinical diagnosis of acute peripheral labyrinthine lesion was made initially. However, magnetic resonance imaging demonstrated a small infarct area involving the caudal part of the cerebellar vermis and medial cerebellar hemispheres on both sides. We emphasize that a cautious attitude should be taken in managing patients with isolated vestibular dysfunction, especially in aged person or those associated with stroke risk factor.
Lin
S H
SH
Department of Neurology, Kaohsiung Medical College, Taiwan, Republic of China.
Chang
Y Y
YY
Lan
M Y
MY
Wang
F M
FM
Chen
W H
WH
Liu
J S
JS
D000368:Aged; D002526:Cerebellar Diseases / Q000150:complications*; D002531:Cerebellum / Q000098:blood supply; D002544:Cerebral Infarction / Q000150:complications*; D005260:Female; D006801:Humans; D014717:Vertigo / Q000209:etiology*