title: Acute cerebellar vertigo in a fighter pilot.
abstract: Vertigo is a frequently encountered complaint among aviators. This complaint is usually labyrinthine in origin. We present a case of a combat jet fighter pilot who experienced a vertiginous episode during flight that nearly resulted in a mishap. Work-up revealed a dissecting aneurysm of the posterior inferior cerebellar artery. Coiling of the aneurysm was performed. This case emphasizes the importance of performing a complete vestibular evaluation in aviators with acute vertigo. Since central nervous system causes may be responsible for vertiginous events, and when undiagnosed may result in a recurrence during flight, magnetic resonance scanning should be considered in those with no obvious peripheral cause for their vertigo.
authors.affiliation: Israeli Air Force Aeromedical Center, Tel Hashomer, Israel. alon2209@012.net.il
authors.forename: Alon
authors.initials: A
authors.lastname: Grossman
authors.forename: Leah
authors.initials: L
authors.lastname: Chapnik
authors.forename: David
authors.initials: D
authors.lastname: Ulanovski
authors.forename: Liav
authors.initials: L
authors.lastname: Goldstein
authors.forename: Bella
authors.initials: B
authors.lastname: Azaria
authors.forename: Yaniv
authors.initials: Y
authors.lastname: Sherer
authors.forename: Erez
authors.initials: E
authors.lastname: Barenboim
mesh_terms: D000208:Acute Disease; D000328:Adult; D000337:Aerospace Medicine; D000784:Aortic Dissection / Q000150:complications* / Q000628:therapy; D002531:Cerebellum / Q000098:blood supply* / Q000473:pathology; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000628:therapy; D008297:Male; D008889:Military Personnel; D014717:Vertigo / Q000209:etiology*