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Condition: Vertigo

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Total 456 results found since Jan 2013.

Brainstem Stroke: Anatomy, Clinical and Radiological Findings
Ischemic brainstem strokes constitute 10% of all ischemic brain strokes. Hemorrhagic complications are associated with an especially poor prognosis. Associated symptomatology includes vertigo, cranial nerve symptoms, and crossed or uncrossed corticospinal tract findings. Advanced neuroimaging techniques have become essential in the decision-making process of brainstem stroke management and may provide a means to identify those patients who may benefit from thrombolysis. Because many of the recommendations are based on limited data, additional research on treatment of acute brainstem stroke is needed.
Source: Seminars in Ultrasound CT and MRI - April 1, 2013 Category: Radiology Authors: Ana Ortiz de Mendivil, Andrea Alcalá-Galiano, Marta Ochoa, Elena Salvador, José M. Millán Source Type: research

Acute vertigo due to hemispheric stroke: A case report and comprehensive review of the literature
We report a 51-year-old patient presenting with an acute vestibular syndrome including spontaneous vertigo and nystagmus, lateropulsion and nausea due to middle cerebral artery infarction. The central origin of the acute vestibular syndrome was revealed by a normal head impulse test. A comprehensive literature review on patients with hemispheric stroke manifesting with acute vertigo is provided. Typically, patients with an acute vestibular syndrome due to cortical stroke have involvement of the temporoparietal junction.Highlights:
Source: Journal of the Neurological Sciences - March 3, 2014 Category: Neurology Authors: Michael von Brevern, Sina Süßmilch, Daniel Zeise Tags: Original Articles Source Type: research

Long-term prognosis for hearing recovery in stroke patients presenting vertigo and acute hearing loss
Abstract: Background and purpose: Vertebrobasilar ischemic stroke (VBIS) can cause acute hearing loss (AHL) because the vertebrobasilar system supplies most of the auditory system including the inner ear. The aim of this study was to assess the long-term prognosis of AHL associated with VBIS.Methods: Over 12.5years, 62 patients with AHL of a vascular cause who were followed for at least 1year (mean, 49.2months; SD, 24.4months) were enrolled in this study. Quantitative audiovestibular function testing was performed during the acute (mostly within 10days after symptom onset) and last follow-up periods in all patients.Results...
Source: Journal of the Neurological Sciences - March 3, 2014 Category: Neurology Authors: Hyun-Ah Kim, Byung-Chan Lee, Jeong-Ho Hong, Chang-Ki Yeo, Hyon-Ah Yi, Hyung Lee Tags: Original Articles Source Type: research

Low HDL cholesterol is correlated to the acute ischemic stroke with diabetes mellitus
Background: To clarify the role of lipid composition in the occurrence of acute ischemic stroke (AIS) with diabetes mellitus (DM) and its influence factors. Methods: Data was collected from the patients hospitalization in Affiliated Drum Tower Hospital of Nanjing University Medical School from October 2008 to May 2012, which included AIS and non-AIS consist of transient ischemic attack (TIA) and Vertigo or dizzy. Lipid and other risk factors including blood glucose (BG), uric acid (UA), hypertension, DM and atrial fibrillation (AF) were investigated in relation to occurrence of AIS. Results: The level of high density lipop...
Source: Epidemiologic Perspectives and Innovations - November 14, 2014 Category: Epidemiology Authors: Yun LuoJingwei LiJunfeng ZhangYun Xu Source Type: research

Diagnosing Stroke in Acute Vertigo: The HINTS Family of Eye Movement Tests and the Future of the “Eye ECG”
Semin Neurol 2015; 35: 506-521DOI: 10.1055/s-0035-1564298Patients who present to the emergency department with symptoms of acute vertigo or dizziness are frequently misdiagnosed. Missed opportunities to promptly treat dangerous strokes can result in poor clinical outcomes. Inappropriate testing and incorrect treatments for those with benign peripheral vestibular disorders leads to patient harm and unnecessary costs. Over the past decade, novel bedside approaches to diagnose patients with the acute vestibular syndrome have been developed and refined. A battery of three bedside tests of ocular motor physiology known as “HI...
Source: Seminars in Neurology - October 6, 2015 Category: Neurology Authors: Newman-Toker, David E.Curthoys, Ian S.Halmagyi, G. Michael Source Type: research

Dorsal Medullary Infarction: Distinct Syndrome of Isolated Central Vestibulopathy Clinical Sciences
Conclusions— The presence of central vestibular signs allows bedside differentiation of isolated vestibular syndrome because of dorsal medullary infarction from acute peripheral vestibular disorders. Because initially false-negative magnetic resonance imagings and subsequent progression are frequent in dorsal medullary infarction, early recognition through scrutinized evaluation is important for proper managements.
Source: Stroke - October 26, 2015 Category: Neurology Authors: Lee, S.-U., Park, S.-H., Park, J.-J., Kim, H. J., Han, M.-K., Bae, H.-J., Kim, J.-S. Tags: Ischemic Stroke, Other diagnostic testing, Acute Cerebral Infarction, Acute Stroke Syndromes Clinical Sciences Source Type: research

Missed Stroke in Patients With Vertigo: A Rare Event? Missed Stroke in Patients With Vertigo: A Rare Event?
Although patients discharged from the emergency department with peripheral vestibular disorder are at a low risk, should more be done to identify patients who are having a stroke? Medscape Medical News
Source: Medscape Pathology Headlines - January 27, 2016 Category: Pathology Tags: Neurology & Neurosurgery News Source Type: news

Acute vestibular syndrome in  cerebellar stroke : A case report and review of the literature.
Acute vestibular syndrome in cerebellar stroke : A case report and review of the literature. HNO. 2017 Mar 07;: Authors: Volgger V, Gürkov R 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 patholog...
Source: HNO - March 9, 2017 Category: ENT & OMF Tags: HNO Source Type: research

Increase in the Admission of Stroke Mimics after Change in Emergency Shifts
Conclusions: Changes in the pattern of Emergency Department shifts were associated with an increase in the rate of admitted SMs and with a higher number of mimics with a final diagnosis of peripheral vertigo.Cerebrovasc Dis 2017;44:68-74
Source: Cerebrovascular Diseases - May 3, 2017 Category: Neurology Source Type: research

Acute evaluation of the acute vestibular syndrome – differentiating posterior circulation stroke from acute peripheral vestibulopathies
Abstract This review article aims to provide an evidence‐based approach to evaluating the patient who presents with acute prolonged, spontaneous vertigo in the context of the acute vestibular syndrome (AVS). Differentiation of posterior circulation stroke presenting as an acute vestibular syndrome has been regarded as an important diagnostic challenge for physicians involved in acute care. Current evidence suggests that a targeted approach to history taking and physical examination with emphasis on the oculomotor examination, more specifically the HINTS (Head Impulse/ Nystagmus/Test‐of‐skew) examination battery, yiel...
Source: Internal Medicine Journal - July 11, 2017 Category: Internal Medicine Authors: Benjamin Kwok ‐Tung Tsang, Alex Siew‐Kar Chen, Mark Paine Tags: Review Source Type: research

Cerebellar Stroke: A Missed Diagnosis
Cerebellar strokes account for less than 10% of all strokes but lead to significantly poor outcomes. Cerebellar strokes that are initially missed have a mortality rate of 40%, and half of the patients who survive have long-term deficits. The patient's history may provide clues that point to a cerebellar stroke. Signs and symptoms include vertigo, headache, vomiting and ataxia. It is important to note the presence of stroke risk factors, such as a history of strokes or transient ischemic attacks, diabetes mellitus, hypertension, hypercholesterolemia, advanced age, atrial fibrillation, and cigarette smoking. The importance o...
Source: Advanced Emergency Nursing Journal - July 1, 2017 Category: Emergency Medicine Tags: Cases of Note Source Type: research

FV12. Development of a diagnostic index test for stroke as a cause of vertigo, dizziness and imbalance in the emergency room: First results from the prospective EMVERT trial
Identifying stroke as a cause of acute vertigo, dizziness and imbalance in the emergency room is still a clinical challenge. The aim of the EMVERT trial was to develop a diagnostic index test to identify patients with the high risk to have a stroke as the cause of the balance symptoms.
Source: Clinical Neurophysiology - July 10, 2018 Category: Neuroscience Authors: A. Zwergal, K. M öhwald, H. Hadzhikolev, S. Bardins, T. Brandt, M. Dieterich, K. Jahn Source Type: research

Stroke and TIA mimics in patients referred to a neurological emergency department by non-ambulance physicians, ambulance physicians and paramedics.
CONCLUSIONS: There seem to be no major differences in the structure, early diagnostic approach and management of ACE mimics between referrals from ambulance physicians and ambulance paramedics, which provides reassurance to the healthcare systems that rely solely on paramedics. Mimics referred by non-ambulance physicians appear different in structure and less resource consuming. PMID: 30614515 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - January 7, 2019 Category: Neurology Authors: Kozera-Strzelińska D, Karliński M, Rak G, Wojdacz M, Sienkiewicz-Jarosz H, Kurkowska-Jastrzębska I Tags: Neurol Neurochir Pol Source Type: research

Repetitive Episodic Isolated Vertigo in a Patient with Cerebellar Infarction
We report the case of a 63-year-old man with multiple atherosclerotic risk factors and atrial fibrillation who showed repeated episodes of isolated vertigo. His repeated vertigo was short-lasting and was often triggered by body position, mimicking benign paroxysmal positional vertigo.
Source: Journal of Stroke and Cerebrovascular Diseases - April 19, 2019 Category: Neurology Authors: Miyu Usui, Takafumi Mashiko, Masuko Tsuda, Masayuki Suzuki, Kosuke Matsuzono, Tadashi Ozawa, Yonhee Kim, Haruo Shimazaki, Reiji Koide, Ryota Tanaka, Shigeru Fujimoto Tags: Case Report Source Type: research

Wegener's Granolomatosis Presenting as Wallenberg Syndrome: A Case Report
Granulomatosis with polyangiitis (GPA), formerly known as Wegener's granulomatosis, a vasculitis affecting small and medium sized vessels usually affects the upper and lower respiratory tract, the kidneys, and the eyes. Neurologic manifestation in central nervous system (CNS) is less frequent than the peripheral and usually is in form of stroke. Few cases of lateral medullary ischemic stroke (Wallenberg syndrome) due to GPA have been reported. A 41 year-old female, presented with acute vertigo, nausea/vomiting, hiccups, dysphagia.
Source: Journal of Stroke and Cerebrovascular Diseases - April 22, 2019 Category: Neurology Authors: Maziar Emamikhah, Farzad Sina, Mahisa Mokhtari, Fatemeh Shirani, Mohammadreza Asadipanah Tags: Case Report Source Type: research