title: Acute vestibular syndrome in cerebellar stroke : A case report and review of the literature.
abstract: The current paper reports on a patient with recurrent rotational vertigo and persistent dizziness and imbalance lasting several weeks, who underwent extensive neuro-otological and radiological examinations. 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 the SPN to the left indicated a central origin. Therefore, cranial magnetic resonance imaging was performed which revealed a left-sided ischemic stroke in the territory of the medial branch of the posterior inferior cerebellar artery (mPICA).
authors.affiliation: Klinikum der Universität München, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Germany. Veronika.volgger@med.uni-muenchen.de.
authors.forename: V
authors.initials: V
authors.lastname: Volgger
authors.affiliation: Klinikum der Universität München, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Gürkov
mesh_terms: D000208:Acute Disease; D001301:Audiometry, Pure-Tone; D065635:Benign Paroxysmal Positional Vertigo / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D002526:Cerebellar Diseases / Q000150:complications / Q000175:diagnosis* / Q000534:rehabilitation; D002531:Cerebellum / Q000098:blood supply; D002544:Cerebral Infarction / Q000150:complications / Q000175:diagnosis* / Q000534:rehabilitation; D003937:Diagnosis, Differential; D004244:Dizziness / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D005260:Female; D064087:Head Impulse Test; D006801:Humans; D008279:Magnetic Resonance Imaging; D008575:Meniere Disease / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D008875:Middle Aged; D009759:Nystagmus, Pathologic / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology; D013577:Syndrome; D015837:Vestibular Diseases / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D014741:Video Recording
keywords: Benign paroxysmal positional vertigo; Cerebellar disease; Cerebellar stroke; Magnetic resonance imaging; Pathologic nystagmus