title: Vertigo in brainstem and cerebellar strokes.
abstract: OBJECTIVE
  The aim of this study is to review the recent findings on the prevalence, clinical features, and diagnosis of vertigo from brainstem and cerebellar strokes.
  
  
  RESULTS
  Patients with isolated vertigo are at higher risk for stroke than the general population. Strokes involving the brainstem and cerebellum may manifest as acute vestibular syndrome, and acute isolated audiovestibular loss may herald impending infarction in the territory of the anterior inferior cerebellar artery. Appropriate bedside evaluation is superior to MRI for detecting central vestibular syndromes. Recording of vestibular-evoked myogenic potentials is useful for evaluation of the central otolithic pathways in brainstem and cerebellar strokes.
  
  
  CONCLUSIONS
  Accurate identification of isolated vascular vertigo is very important since misdiagnosis of acute stroke may result in significant morbidity and mortality, whereas overdiagnosis of vascular vertigo would lead to unnecessary costly work-ups and medication.
authors.affiliation: Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, , Korea.
authors.forename: Kwang-Dong
authors.initials: KD
authors.lastname: Choi
authors.forename: Hyung
authors.initials: H
authors.lastname: Lee
authors.forename: Ji-Soo
authors.initials: JS
authors.lastname: Kim
mesh_terms: D001933:Brain Stem / Q000473:pathology*; D002531:Cerebellum / Q000473:pathology*; D006801:Humans; D009759:Nystagmus, Pathologic; D020521:Stroke / Q000453:epidemiology / Q000473:pathology / Q000503:physiopathology; D014717:Vertigo / Q000453:epidemiology / Q000473:pathology / Q000503:physiopathology