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Condition: Vertigo
Procedure: Angiography

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Total 48 results found since Jan 2013.

Case report: Bilateral sudden deafness in acute middle cerebellar peduncle infarction: central or peripheral?
CONCLUSION: Vertebrobasilar diseases due to atherosclerosis should be routinely considered in middle-aged and elderly patients with vascular risk factors and bilateral hearing loss. Bilateral SSNHL can be a prodrome of acute MCP infarction and it can be peripheral. Brain MRI, brain magnetic resonance angiogram (MRA), brain and neck computed tomography angiography (CTA), BAEP, otoacoustic emissions, and Pure Tone Audiogram help to localize and qualify the diagnosis. Bilateral SSNHL localized to the periphery usually improves better and has a good prognosis. Early detection of hearing loss and intervention can help patients ...
Source: Atherosclerosis - May 22, 2023 Category: Cardiology Authors: Ziyun Yuan Lei Xiang Ran Liu Wei Yue Source Type: research

A rare case of positional vertebrobasilar ischemia with the retrograde flow of the vertebral artery
J Surg Case Rep. 2023 May 12;2023(5):rjad222. doi: 10.1093/jscr/rjad222. eCollection 2023 May.ABSTRACTPositional vertebrobasilar ischemia, also known as Bow hunter stroke, is typically caused by mechanical compression of the vertebral artery (VA). On the other hand, subclavian steal syndrome is incidentally detected by vertigo, syncope or loss of consciousness due to the steal phenomenon. A 61-year-old man suffered from near syncope when he turned his head to the left side. Although asymmetric arm blood pressure of the right dominant was observed, arm claudication was not detected. Computed tomographic angiography and magn...
Source: Hand Surgery - May 16, 2023 Category: Surgery Authors: Toshihiro Kawahira Hiroki Morimoto Source Type: research

Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department
Acad Emerg Med. 2023 May;30(5):442-486. doi: 10.1111/acem.14728.ABSTRACTThis third Guideline for Reasonable and Appropriate Care in the Emergency Department (GRACE-3) from the Society for Academic Emergency Medicine is on the topic adult patients with acute dizziness and vertigo in the emergency department (ED). A multidisciplinary guideline panel applied the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and strength of recommendations regarding five questions for adult ED patients with acute dizziness of less than 2 weeks' duration. The intended pop...
Source: Accident and Emergency Nursing - May 11, 2023 Category: Emergency Medicine Authors: Jonathan A Edlow Christopher Carpenter Murtaza Akhter Danya Khoujah Evie Marcolini William J Meurer David Morrill James G Naples Robert Ohle Rodney Omron Sameer Sharif Matt Siket Suneel Upadhye Lucas Oliveira J E Silva Etta Sundberg Karen Tartt Simone Van Source Type: research

Progressive Central Artery Occlusion, Ophthalmic Artery Occlusion, and Hemispheric Intracranial Thrombosis after COVID-19 mRNA Vaccine Application: Case Report
Thromboembolic events as a result of COVID-19 mRNA vaccination are a rare, though life-threatening complication. In this case report, we describe a 40-year-old female patient who developed central retinal artery and ophthalmic artery occlusion progressing to intracranial thrombosis 3 weeks after vaccination with the Pfizer-BioNTech COVID-19 vaccine. Initially, she presented with progressive acute and painless unilateral vision loss in her left eye. Dilated fundoscopy of left eye showed macular whitening with sparing of the area of cilioretinal artery distribution. Labs revealed a normal erythrocyte sedimentation rate, C-re...
Source: Case Reports in Ophthalmology - April 18, 2023 Category: Opthalmology Source Type: research

Diagnostic accuracy of neuroimaging in emergency department patients with acute vertigo or dizziness: A systematic review and meta-analysis for the Guidelines for Reasonable and Appropriate Care in the Emergency Department
CONCLUSION: Non-contrast CT has very low sensitivity and MRI will miss approximately one in five patients with stroke if imaging is obtained early after symptom onset. Neuroimaging should not be used as the only tool for ruling out stroke and other central causes in patients with acute dizziness or vertigo presenting to the ED.PMID:35876220 | DOI:10.1111/acem.14561
Source: Accident and Emergency Nursing - July 25, 2022 Category: Emergency Medicine Authors: Vishal Paresh Shah Lucas Oliveira J E Silva Wigdan Farah Mohamad Seisa Abdalla Kara Balla April Christensen Magdoleen Farah Bashar Hasan Fernanda Bellolio M Hassan Murad Source Type: research

E-074 Case report: reconstructive endovascular treatment of symptomatic long segment dissection with pseudo-aneurysm of dominant left vertebral artery
We report a case of 27 year old Caucasian female with no known medical history who presented to our hospital with several days’ history of posterior headache and neck pain. CT head was unremarkable. CTA head and neck showed short segment of severe stenosis secondary to dissection at the V2-V3 junction of dominant left vertebral artery with associated 6 mm pseudo aneurysm. Right vertebral artery was hypoplastic and it ended in PICA. The dissection was presumed to be spontaneous as patient denied any trauma or strenuous neck manipulation or family history of connective tissue disorders. She was started on antiplatelet ...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Soomro, J., Greco, J., Whitis, J., Rao, S., Yoo, A. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

Endovascular Coil Embolization for Recurrent Bow Hunter's Stroke
Intern Med. 2022 May 14. doi: 10.2169/internalmedicine.8906-21. Online ahead of print.ABSTRACTBow hunter's stroke is a rare cause of vertebrobasilar infarction. There is no consensus regarding the optimal treatment. We herein report a case of bow hunter's stroke successfully treated by endovascular treatment. A 70-year-old man presented with central vertigo. Magnetic resonance imaging (MRI) showed posterior circulation infarcts. Dynamic angiography revealed thrombus formation and hypoperfusion of the right vertebral artery upon head rotation to the left. Endovascular parent artery occlusion of the right vertebral artery wa...
Source: Internal Medicine - May 15, 2022 Category: Internal Medicine Authors: Fumiya Kutsuna Yoichi Morofuji Eri Shiozaki Daiki Uchida Masahiro Tokuda Hiroshi Iwanaga Tomonori Ono Ichiro Kawahara Wataru Haraguchi Keisuke Tsutsumi Source Type: research