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Condition: Vertigo

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Total 456 results found since Jan 2013.

Clinical Reasoning: Sudden-onset pulsatile headache in a previously healthy young man
A previously healthy 41-year-old man presented to the local hospital with a sudden-onset right-sided pulsatile headache, accompanied by vertigo, unstable gait, nausea, and vomiting. On admission, he additionally presented with left central facial paralysis, left-sided hemiparesis, and NIH Stroke Scale score of 2. The patient denied history of hypertension, diabetes, or any other high-risk factors for cerebral vascular diseases (CVD). Diffusion-weighted imaging (DWI) revealed multiple acute focal infarctions in the right frontoparietal lobe consistent with decreased blood supply through the right carotid artery (figure e-1A1 at Neurology.org).
Source: Neurology - January 15, 2017 Category: Neurology Authors: Qin, C., Pan, C., Tian, D.-S. Tags: Stroke in young adults, Carotid artery dissection RESIDENT AND FELLOW SECTION Source Type: research

Acute vestibular syndrome following cerebellar stroke : Case report and literature review. German version.
Authors: Volgger V, Gürkov R Abstract The current paper reports on a patient with recurrent rotational vertigo and persistent dizziness and imbalance lasting weeks, who underwent extensive neurootological and radiological examination. 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 SPN to the left indicated a central genesis. Therefore, cMRI was performed and revealed a left-sided cerebral i...
Source: HNO - February 4, 2017 Category: ENT & OMF Tags: HNO 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 (PCS) presenting as an AVS 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, yields a higher sensi...
Source: Internal Medicine Journal - December 10, 2017 Category: Internal Medicine Authors: Benjamin K. T. Tsang, Alex S. K. Chen, Mark Paine Tags: Review Source Type: research

Tako-tsubo cardiomyopathy with transient global amnesia and cerebellar embolic stroke triggered by existential fear
Conclusions TGA is not a disease for the neurologists exclusively but also cardiac comorbidities have to be considered and cardiologists should be involved in the acute care of these patients in order not to overlook life-threatening diseases.
Source: Polish Journal of Neurology and Neurosurgery - January 6, 2018 Category: Neurosurgery Source Type: research

Opalski Syndrome Treated with Intravenous Recombinant Tissue Type Plasminogen Activator —Case Report and Review of Literature
A 65-year-old man with a history of Wallenberg syndrome caused by vertebral artery dissection at 62 years old was admitted to our hospital with nausea, vertigo, right facial dysesthesia, right hemiplegia, crossed sensory disturbance (sensory loss and numbness in the right face and left body below the neck), and right limb ataxia. Magnetic resonance imaging (MRI) performed 80 minutes after onset revealed no acute ischemic stroke lesions, but magnetic resonance angiography (MRA) demonstrated complete occlusion of the right vertebral artery.
Source: Journal of Stroke and Cerebrovascular Diseases - May 16, 2020 Category: Neurology Authors: Daisuke Hara, Masashi Akamatsu, Heisuke Mizukami, Bunta Kato, Takaaki Suzuki, Jun Oshima, Yukari Akasu, Yasuhiro Hasegawa Tags: Case Report Source Type: research

Development and proof of concept of immersive virtual reality system to evaluate near and far space neglect in individuals after stroke: A brief report.
CONCLUSIONS: Our proof of concept study indicated the possibility of applying an evaluation system that separates far and near space neglect using iVR. PMID: 32508332 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - June 10, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Predictors of vertigo in the emergency department: The preved study
Acute vertigo (sense of motion) can be the sole manifestation of a posterior circulation stroke, and often gets missed in the emergency department (ED). The studies for evaluation of central vertigo have focused on physical exam findings, which require expertise and may not be suitable for rapid triage by a nurse in ED or by paramedics.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Vishal Mandge, Leonidas Palaiodimos, Qingying Lai, Christos A. Papanastasiou, Yanjun Wang, Daniel Santos, Luis Grau, Alimitha Kodali, Lenore Ocava, Andrew H Gutwein Source Type: research

Serum miRNA125a-5p, miR-125b-5p, and miR-433-5p as biomarkers to differentiate between posterior circulation stroke and peripheral vertigo
Acute vertigo is a common presentation of inner ear disease. However, it can also be caused by more serious conditions, especially posterior circulation stroke. Differentiating between these two conditions by ...
Source: BMC Neurology - October 10, 2020 Category: Neurology Authors: Naruchorn Kijpaisalratana, Pattaraporn Nimsamer, Ariya Khamwut, Sunchai Payungporn, Trairak Pisitkun, Aurauma Chutinet, Nattawan Utoomprurkporn, Stephen J. Kerr, Pakkawan Vongvasinkul and Nijasri C. Suwanwela Tags: Research article Source Type: research

Neurological Involvement in Primary Systemic Vasculitis
Conclusion Neurological involvement is a common complication of PSV (Table 1), and neurologists play an important role in the identification and diagnosis of PSV patients with otherwise unexplained neurological symptoms as their chief complaint. This article summarizes the neurological manifestations of PSV and hopes to improve neuroscientists' understanding of this broad range of diseases. TABLE 1 Table 1. Common CNS and PNS involvements of primary systemic vasculitis. Author Contributions SZ conceived the article and wrote the manuscript. DY and GT reviewed and edited the manuscript. All authors ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Vertigo and Dizziness in Anterior Circulation Cerebrovascular Disease: A Systematic Review (P3.092)
CONCLUSIONS: Vertigo and dizziness are not rare manifestations of carotid territory ischemia, particularly in the temporo-parietal regions. Although dizziness is generally more prevalent in women, anterior circulation stroke causing dizziness appears to be more prevalent in men. Clinicians should carefully consider a search for anterior circulation vascular disease in patients presenting with vestibular symptoms.Disclosure: Dr. Zhou has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Mantokoudis has nothing to disclose. Dr. Saber Tehrani has nothing to disclose. Dr. Ying has nothing to disclose. Dr. Kerber has re...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Zhou, Y., Lee, S.-H., Mantokoudis, G., Saber Tehrani, A., Ying, S., Kerber, K., Hsieh, Y.-H., Robinson, K., Hanley, D., Zee, D., Newman-Toker, D. Tags: Cerebrovascular Disease and Interventional Neurology: Clinical Management Source Type: research

To describe symptomatology and etiological factors of posterior fossa strokes involving only the basilar artery. (P3.257)
Conclusions:Muscle weakness, language changes were the primary symptoms recorded when patients presented with posterior fossa strokes involving only the basilar artery. LVAT and cardio-embolism were the primary etiologies. This study elucidates symptoms to look for when patients present with muscle weakness as well as language changes, and emphasizes the possibility of cardiac causes of posterior fossa strokes involving purely the basilar artery.Study Supported by:The patients evaluated with only basilar stroke and at least one of the following symptoms: 72.6% (53/73) muscle weakness, 64.4% (47/73) language changes, 40.0% ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Parand, L., Jillella, D., Zafar, A. Tags: Cerebrovascular Disease Epidemiology Source Type: research

8 Reasons You Get Dizzy
SPECIAL FROM Grandparents.com Who hasn’t gotten up quickly from sitting down and felt a little bit dizzy? Or had a stomach virus and things spun a bit? But while dizziness can be a side effect of minor health issues, it can also be a sign of a serious health problem. “Dizziness is absolutely not normal,” says Donnica Moore, M.D., president of Sapphire Women’s Health Group in Chester, N.J. “It tells you that something is wrong. It could be something simple and very easy to fix or it could be a sign of something else going on in your body.” Dizziness is a more common complaint among older adults—probably bec...
Source: Healthy Living - The Huffington Post - January 4, 2015 Category: Consumer Health News Source Type: news

MMP-9, Vertebrobasilar Ectasia and Vertebral Artery Dominance in Vertigo or Dizziness Patients With Vascular Risk Factors
Conclusions: MMP-9 was associated with VBE and independent of VAD. High levels of MMP-9 may predict risk for ischemic stroke in patients with vertigo or dizziness who also have vascular risk factors.
Source: Frontiers in Neurology - August 24, 2020 Category: Neurology Source Type: research