[Acute vestibular syndrome following cerebellar stroke : Case report and literature review. German version].
The current paper reports on a patient with recurrent rotational vertigo and persistent dizziness and imbalance lasting weeks, who underwent extensive neurootological and radiological examination. Pathological findings initially included right-sided benign paroxysmal positional vertigo (BPPV), persistent horizontal spontaneous nystagmus (SPN) to the left and a pathological bedside and video head impulse test (HIT) on the left. The pathological HIT on the left and SPN to the left indicated a central genesis. Therefore, cMRI was performed and revealed a left-sided cerebral infarction in the territory of the medial branch of the posterior inferior cerebellar artery (mPICA).
Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Deutschland. Veronika.volgger@med.uni-muenchen.de.
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V
Volgger
Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Deutschland.
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R
Gürkov
D065635:Benign Paroxysmal Positional Vertigo / Q000209:etiology; D004244:Dizziness; D064087:Head Impulse Test; D006801:Humans; D009759:Nystagmus, Pathologic / Q000209:etiology; D020521:Stroke / Q000150:complications
Benign paroxysmal positional vertigo; Cerebellar diseases; Cerebellar stroke; Magnetic resonance imaging; Pathologic nystagmus