Vestibular symptoms in acute hemispheric strokes

In conclusion, cerebral hemispheric infarction limited to the PIVC or TPSVC does not necessarily cause vertigo. However, unilateral hemispheric infarctions, restricted to the areas belonging to the vestibular cortical network may cause vestibul ar symptoms. The lesions responsible for vestibular symptoms are located more often in the right hemisphere.
Source: Journal of Neurology - Category: Neurology Source Type: research

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Importance: Benign paroxysmal positional vertigo (BPPV) is a common cause of acute dizziness. Strong evidence exists for diagnosing BPPV using the Dix-Hallpike Test (DHT) and treating it with the canalith repositioning maneuver (CRM). Despite this, both are infrequently used in the emergency department (ED). Objective: As an early method to evaluate a BPPV-focused educational intervention, we evaluated whether an educational intervention improved ED provider performance on hypothetical stroke and BPPV cases delivered by vignette. Design: A randomized, controlled, educational intervention study in ED physicians. The...
Source: Otology and Neurotology - Category: ENT & OMF Tags: VESTIBULAR DISORDERS Source Type: research
Conditions:   Stroke;   Headache;   Vertigo;   Meningitis/Encephalitis Intervention:   Device: DeepDoc AI-based Decision Support System Sponsor:   Xijing Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 8 July 2019Source: American Journal of OtolaryngologyAuthor(s): Jonathan Hanna, Ajay Malhotra, Philip R. Brauer, Alexander Luryi, Elias MichaelidesAbstractPurposeTo compare imaging utilization between patients presenting to the emergency department (ED) with vertigo and dizziness (VDS) who are diagnosed with stroke and benign paroxysmal positional vertigo (BPPV).MethodsAll patients presenting to the ED with VDS (January 2014–June 2018) were identified. Those with a discharge diagnosis of stroke and BPPV were analyzed.Results17,884 patients presented to with VDS. 452 were diagnosed w...
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
This study aimed to report a Chinese patient with acute bilateral pontine infarction manifesting as eight-and-a-half syndrome plus hemiplegia (atypical nine syndrome), and also the clinical and neuroimaging findings were explained and discussed with review of the literature. Patient concerns: A 79-year-old woman experienced sudden vertigo, nausea, vomiting, and weakness at her left arm and leg. The neurological examination disclosed her right horizontal gaze palsy, internuclear ophtalmoplegia (INO), and right-sided peripheral facial paralysis combined with slight left-sided hemiplegia, which were consistent with atypica...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
AbstractCathepsin-A-related arteriopathy with strokes and leukoencephalopathy (CARASAL) is an acronym that describes an ultra-rare, hereditary, cerebral small vessel disease. The aim is to summarize current knowledge and recent findings concerning phenotype, genotype, pathogenesis, diagnoses, and treatment options of CARASAL. The method used in the study is a systematic literature review. CARASAL is clinically characterized by a wide range of predominantly central nervous system abnormalities. These include migraine, stroke with central facial palsy, facial pain, non-positional vertigo, cognitive dysfunction with impaired ...
Source: Acta Neurologica Belgica - Category: Neurology Source Type: research
Conditions:   Vertigo, Peripheral;   Vertigo, Brain Stem;   Vertigo; Central;   Vertigo; Cerebral Intervention:   Diagnostic Test: copeptin, PS100 Sponsor:   Poitiers University Hospital Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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