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Condition: Vertigo

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Total 456 results found since Jan 2013.

Contrasting impact of fast-test public education on behaviour after tia and minor stroke versus major stroke: a population-based study
Conclusion The U.K. FAST campaign appears to have improved recognition and behaviour after major stroke, but symptom recognition remains poor in TIA and minor stroke and may have been adversely affected. Public education campaigns should consider potential unintended consequences of focussing only on FAST-test symptoms and on major stroke.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Wolters, F. J., Paul, N. L., Chandratheva, A., Li, L., Rothwell, P. M. Tags: Drugs: CNS (not psychiatric), Stroke, Ear, nose and throat/otolaryngology Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Stroke risk stratification in acute dizziness presentations: A prospective imaging-based study
Conclusion: In acute dizziness presentations, the combination of ABCD2 score, general neurologic examination, and a specialized OM examination has the capacity to risk-stratify acute stroke on MRI.
Source: Neurology - November 23, 2015 Category: Neurology Authors: Kerber, K. A., Meurer, W. J., Brown, D. L., Burke, J. F., Hofer, T. P., Tsodikov, A., Hoeffner, E. G., Fendrick, A. M., Adelman, E. E., Morgenstern, L. B. Tags: All Health Services Research, Decision analysis, All Cerebrovascular disease/Stroke, All Neurotology, Vertigo ARTICLE Source Type: research

Discrimination of Acute Ischemic Stroke from Nonischemic Vertigo in Patients Presenting with Only Imbalance
We examined 332 consecutive patients with an acute feeling of imbalance who showed no neurologic findings or responsible lesions on CT scan at the hyperacute phase. We examined their clinical backgrounds, physical findings, and laboratory examinations, with ischemic stroke diagnosed by later CT and/or magnetic resonance imaging (MRI). We identified 41 (12.3%) ischemic stroke patients. Atrial fibrillation (odds ratio 4.1; 95% confidence interval 1.4-11.5), white blood cell count (103/μL, 1.4; 1.2-1.6), head and/or neck pain (4.6; 2.1-10.3), first attack of imbalance feeling (3.3; 1.1-12.2), and dizziness (3.7; 1.7-8.3) wer...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2013 Category: Neurology Authors: Shoji Honda, Yuichiro Inatomi, Toshiro Yonehara, Yoichiro Hashimoto, Teruyuki Hirano, Yukio Ando, Makoto Uchino Tags: Original Articles Source Type: research

A rare cause of stroke in young: PHACE syndrome (P1.253)
Conclusions:Neurocutaneous syndromes are typically diagnosed in childhood and can be a rare cause of stroke in young. Our patient suffered an ischemic stroke secondary to sequelae of undiagnosed PHACE syndrome. Early identification of neurocutaneous syndromes allows for proper surveillance, evaluation, and preventative education for development of complications.Disclosure: Dr. Fitzgerald has nothing to disclose. Dr. Chandra has nothing to disclose. Dr. Dannenbaum has nothing to disclose. Dr. Sharrief has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Fitzgerald, K., Chandra, S., Dannenbaum, M., Sharrief, A. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research

Insular Strokes Cause No Vestibular Deficits Brief Reports
Conclusions— It seems that lesions of the posterior IC might have to be combined with lesions of adjacent regions of the cortical and subcortical vestibular network to cause vestibular otolith deficits.
Source: Stroke - August 26, 2013 Category: Neurology Authors: Baier, B., Conrad, J., zu Eulenburg, P., Best, C., Muller-Forell, W., Birklein, F., Dieterich, M. Tags: Behavioral/psychosocial - stroke, Other diagnostic testing Brief Reports Source Type: research

Isolated vestibular syndrome in posterior circulation stroke: Frequency and involved structures
Dizziness/vertigo is a common symptom of posterior circulation stroke and usually accompanies other neurologic symptoms and signs. Although strokes involving the brainstem or cerebellum may produce isolated vestibular syndrome (isolated vertigo or imbalance), the overall frequency and involved structures of isolated vestibular syndrome in the posterior circulation stroke remain uncertain. Isolated vestibular syndrome occurs in approximately 25% of the patients with posterior circulation stroke, and mostly involves the cerebellum, inferior or superior cerebellar peduncles, and caudal lateral or rostral dorsolateral medulla....
Source: Nature Clinical Practice - October 13, 2014 Category: Neurology Authors: Choi, J.-H., Kim, H.-W., Choi, K.-D., Kim, M.-J., Choi, Y. R., Cho, H.-J., Sung, S.-M., Kim, H.-J., Kim, J.-S., Jung, D.-S. Tags: All Cerebrovascular disease/Stroke, Vertigo, Infarction Clinical and Ethical Challenges Source Type: research

Comment: Diagnosing stroke in acute dizziness--Do the "eyes" still have it?
In this issue of Neurology®, Kerber et al.1 describe 272 emergency department patients with acute, continuous dizziness and nystagmus or gait unsteadiness, 29 (11%) with strokes by MRI neuroimaging. Their population is similar to those described previously as the acute vestibular syndrome (AVS).2 The authors compare clinical features (ABCD2 [age, blood pressure, clinical features, duration, and diabetes] risk score, general neurologic examination, and head impulse, nystagmus pattern, test of skew [HINTS]2 eye movement tests) in stroke and nonstroke patients. They contend that no single examination "can identify a suffi...
Source: Neurology - November 23, 2015 Category: Neurology Authors: Newman-Toker, D. E. Tags: All Health Services Research, Decision analysis, All Cerebrovascular disease/Stroke, All Neurotology, Vertigo ARTICLE Source Type: research

Motion Perception without Nystagmus—A Novel Manifestation of Cerebellar Stroke
Conclusions: This study discovered a novel presentation of cerebellar stroke where only motion perception was affected, but there was an absence of objective neurologic signs.
Source: Journal of Stroke and Cerebrovascular Diseases - November 21, 2013 Category: Neurology Authors: Aasef G. Shaikh Tags: Original Articles Source Type: research

Misdiagnosis in Young Patients with Ischemic Stroke (P7.122)
Conclusions It is essential to increase awareness that young patients with stroke may present to emergency department with minor symptoms of artery dissection mainly involving the posterior circulation and lacking cardiovascular risk factors.Disclosure: Dr. Leon has nothing to disclose. Dr. Pantiu has nothing to disclose. Dr. Quiroga has nothing to disclose. Dr. Bonardo has nothing to disclose. Dr. Uribe has nothing to disclose. Dr. Mazziotti has received research support from Shire Pharmaceuticals Group. Dr. Zinnerman has nothing to disclose. Dr. Martinez has nothing to disclose. Dr. Sotelo has nothing to disclose. Dr. Ju...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Leon, L., Pantiu, F., Quiroga, J., Bonardo, P., Uribe, C., Mazziotti, J., Zinnerman, A., Martinez, A., Sotelo, A., Jure, L., Nofal, P., Bendersky, E., Sposato, L. A., Riccio, P., Reisin, R., Fernandez Pardal, M. Tags: Cerebrovascular Disease and Interventional Neurology: Stroke in Young Source Type: research

Sudden Hearing Loss with Vertigo Portends Greater Stroke Risk Than Sudden Hearing Loss or Vertigo Alone
Because it is unknown whether sudden hearing loss (SHL) in acute vertigo is a “benign” sign (reflecting ear disease) or a “dangerous” sign (reflecting stroke), we sought to compare long-term stroke risk among patients with (1) “SHL with vertigo,” (2) “SHL alone,” and (3) “vertigo alone” using a large national health-care database.
Source: Journal of Stroke and Cerebrovascular Diseases - November 1, 2017 Category: Neurology Authors: Tzu-Pu Chang, Zheyu Wang, Ariel A. Winnick, Hsun-Yang Chuang, Victor C. Urrutia, John P. Carey, David E. Newman-Toker Source Type: research

Positional Vertigo After Isolated Cerebellar Nodulus Stroke: A Report of 3 Cases
We report 3 cases (69-year-old man, 71-year-old man, and 82-year-old woman) of isolated cerebellar nodulus stroke patients, who presented with positional vertigo alone that lasted only for 2-4 days. Brain magnetic resonance imaging helped diagnosing these cases. Although rare, clinicians should be aware of isolated cerebellar nodulus stroke, when facing with patients with paroxysmal vertigo of acute onset.
Source: Journal of Stroke and Cerebrovascular Diseases - November 10, 2018 Category: Neurology Authors: Fuyuki Tateno, Ryuji Sakakibara Source Type: research

Ischemic Stroke as the First Manifestation of Hepatic Epithelioid Hemangioendothelioma
In conclusion, hypercoaguable state related to hepatic epithelioid hemangioendothelioma can lead to an ischemic stroke, as a rare first manifestation of the disease.
Source: Journal of Stroke and Cerebrovascular Diseases - November 13, 2013 Category: Neurology Authors: Panagiotis Zis, Avraam Assi, Dimitrios Kravaritis, Vassilios A. Sevastianos Tags: Case Reports Source Type: research

Recurrent Ischemic Stroke in a Patient with the Trousseau Syndrome Treated with Dabigatran
A 70-year-old man with multiple ischemic strokes was diagnosed with cardiac embolism and treated with dabigatran. Three months later, he suddenly developed vertigo and vomiting. Magnetic resonance imaging, showed recurrent lesions and blood tests revealed hypercoagulability, hypoproteinemia, and elevated cytokeratin 19 fragments that serve as a tumor marker of lung cancer. Chest computed tomography showed there were small nodules in bilateral lungs and swollen mediastinal lymph nodes. A conclusive diagnosis was impossible because the patient declined invasive procedures. We suspected primary lung cancer and diagnosed conco...
Source: Journal of Stroke and Cerebrovascular Diseases - February 21, 2014 Category: Neurology Authors: Kosuke Yoshida, Takashi Kimura, Yoko Aburakawa, Yasuhiro Suzuki, Kenji Kuroda, Osamu Yahara Tags: Case Reports Source Type: research

Spontaneous Isolated Posterior Inferior Cerebellar Artery Dissection: Rare but Underdiagnosed Cause of Ischemic Stroke
Conclusions: Clinical manifestations in ischemic type of spontaneous isolated PICAD were similar to those of intracranial vertebral artery dissection. Clinical course was relatively stable and benign. SWI was more helpful to suspect abnormality of posterior inferior cerebellar artery than conventional MRI or magnetic resonance angiography in our small series. Cerebral angiography is recommended in patients with clinically suspected spontaneous isolated PICAD for definite diagnosis.
Source: Journal of Stroke and Cerebrovascular Diseases - May 8, 2014 Category: Neurology Authors: Min-Gyu Park, Jae-Hwan Choi, Tae-Il Yang, Se-Jin Oh, Seung Kug Baik, Kyung-Pil Park Tags: Original Articles Source Type: research

The TriAGe+ Score for Vertigo or Dizziness: A Diagnostic Model for Stroke in the Emergency Department
Vertigo or dizziness is a common occurrence, but it remains a challenging symptom when encountered in the emergency department (ED). A diagnostic score for stroke with high accuracy is therefore required.
Source: Journal of Stroke and Cerebrovascular Diseases - February 27, 2017 Category: Neurology Authors: R. Kuroda, T. Nakada, T. Ojima, M. Serizawa, N. Imai, N. Yagi, A. Tasaki, M. Aoki, T. Oiwa, T. Ogane, K. Mochizuki, M. Kobari, H. Miyajima Source Type: research