title: Acute vertigo due to hemispheric stroke: a case report and comprehensive review of the literature.
abstract: Acute cortical lesions rarely cause vertigo. We report a 51-year-old patient presenting with an acute vestibular syndrome including spontaneous vertigo and nystagmus, lateropulsion and nausea due to middle cerebral artery infarction. The central origin of the acute vestibular syndrome was revealed by a normal head impulse test. A comprehensive literature review on patients with hemispheric stroke manifesting with acute vertigo is provided. Typically, patients with an acute vestibular syndrome due to cortical stroke have involvement of the temporoparietal junction.
authors.affiliation: Department of Neurology, Park-Klinik Weissensee, Schönstrasse 80, 13086 Berlin, Germany. Electronic address: von.brevern@park-klinik.com.
authors.forename: Michael
authors.initials: M
authors.lastname: von Brevern
authors.affiliation: Department of Neurology, Park-Klinik Weissensee, Schönstrasse 80, 13086 Berlin, Germany.
authors.forename: Sina
authors.initials: S
authors.lastname: Süßmilch
authors.affiliation: Department of Neurology, Park-Klinik Weissensee, Schönstrasse 80, 13086 Berlin, Germany.
authors.forename: Daniel
authors.initials: D
authors.lastname: Zeise
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D020521:Stroke / Q000150:complications* / Q000175:diagnosis*; D014717:Vertigo / Q000175:diagnosis* / Q000209:etiology*; D020338:Vestibular Neuronitis / Q000150:complications / Q000175:diagnosis*
keywords: Acute vestibular syndrome; Middle cerebral artery; Nystagmus; Stroke; Vertigo; Vestibular cortex