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Cerebellar infarctions and 'vestibular neuritis'

Magnusson, M LU orcid and Norrving, B LU (1993) In Acta Oto-Laryngologica, Supplement 503. p.6-64
Abstract

Consecutive subjects 50 to 75 years of age with sudden onset of vertigo but without cochlear or neurological symptoms were investigated with neuro-imaging techniques. Doppler sonography of the vertebral and carotid arteries and recording of voluntary saccades and pursuit eye movements, caloric, spontaneous, gaze and optokinetic nystagmus. Among those studied, 6 out of 24 subjects could be demonstrated to have cerebellar infarctions, another 2 subjects had occlusion of one vertebral artery. Caloric tests could not identify subjects with a cerebellar infarction whereas prominently reduced pursuit eye movements could. Subjects with cerebellar infarction either had a vertebral artery occlusion or prominent cardio-embolic risk factors. It is... (More)

Consecutive subjects 50 to 75 years of age with sudden onset of vertigo but without cochlear or neurological symptoms were investigated with neuro-imaging techniques. Doppler sonography of the vertebral and carotid arteries and recording of voluntary saccades and pursuit eye movements, caloric, spontaneous, gaze and optokinetic nystagmus. Among those studied, 6 out of 24 subjects could be demonstrated to have cerebellar infarctions, another 2 subjects had occlusion of one vertebral artery. Caloric tests could not identify subjects with a cerebellar infarction whereas prominently reduced pursuit eye movements could. Subjects with cerebellar infarction either had a vertebral artery occlusion or prominent cardio-embolic risk factors. It is suggested that subjects with symptoms as vestibular neuritis should be investigated with pursuit eye movements and with at least standard ECG recordings.

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keywords
Aged, Cerebellum, Cerebral Infarction, Dominance, Cerebral, Echoencephalography, Electronystagmography, Female, Humans, Magnetic Resonance Imaging, Male, Meniere Disease, Middle Aged, Neuritis, Vertebrobasilar Insufficiency, Vestibular Nerve, Vestibulocochlear Nerve Diseases, Journal Article
in
Acta Oto-Laryngologica, Supplement
volume
503
pages
3 pages
publisher
Scandinavian University Press
external identifiers
  • pmid:8470504
  • scopus:0027340467
ISSN
0365-5237
language
English
LU publication?
yes
id
8cde0b9d-c091-4aef-bca8-7aee8eaa5f68
date added to LUP
2017-05-03 12:33:08
date last changed
2024-01-13 19:53:01
@article{8cde0b9d-c091-4aef-bca8-7aee8eaa5f68,
  abstract     = {{<p>Consecutive subjects 50 to 75 years of age with sudden onset of vertigo but without cochlear or neurological symptoms were investigated with neuro-imaging techniques. Doppler sonography of the vertebral and carotid arteries and recording of voluntary saccades and pursuit eye movements, caloric, spontaneous, gaze and optokinetic nystagmus. Among those studied, 6 out of 24 subjects could be demonstrated to have cerebellar infarctions, another 2 subjects had occlusion of one vertebral artery. Caloric tests could not identify subjects with a cerebellar infarction whereas prominently reduced pursuit eye movements could. Subjects with cerebellar infarction either had a vertebral artery occlusion or prominent cardio-embolic risk factors. It is suggested that subjects with symptoms as vestibular neuritis should be investigated with pursuit eye movements and with at least standard ECG recordings.</p>}},
  author       = {{Magnusson, M and Norrving, B}},
  issn         = {{0365-5237}},
  keywords     = {{Aged; Cerebellum; Cerebral Infarction; Dominance, Cerebral; Echoencephalography; Electronystagmography; Female; Humans; Magnetic Resonance Imaging; Male; Meniere Disease; Middle Aged; Neuritis; Vertebrobasilar Insufficiency; Vestibular Nerve; Vestibulocochlear Nerve Diseases; Journal Article}},
  language     = {{eng}},
  pages        = {{6--64}},
  publisher    = {{Scandinavian University Press}},
  series       = {{Acta Oto-Laryngologica, Supplement}},
  title        = {{Cerebellar infarctions and 'vestibular neuritis'}},
  volume       = {{503}},
  year         = {{1993}},
}