title: Isolated vertiginous dysequilibrium due to bilateral caudal cerebellar infarction.
abstract: 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.
authors.affiliation: Department of Neurology, Kaohsiung Medical College, Taiwan, Republic of China.
authors.forename: S H
authors.initials: SH
authors.lastname: Lin
authors.forename: Y Y
authors.initials: YY
authors.lastname: Chang
authors.forename: M Y
authors.initials: MY
authors.lastname: Lan
authors.forename: F M
authors.initials: FM
authors.lastname: Wang
authors.forename: W H
authors.initials: WH
authors.lastname: Chen
authors.forename: J S
authors.initials: JS
authors.lastname: Liu
mesh_terms: 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*