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Isolated acute vertigo in the elderly; vestibular or vascular disease?

Norrving, Bo LU ; Magnusson, Måns LU and Holtås, Stig LU (1995) In Acta Neurologica Scandinavica 91(1). p.43-48
Abstract
INTRODUCTION--Elderly patients with isolated acute vertigo are commonly encountered in clinical practice, but little is known about the underlying cause of the symptoms. MATERIAL & METHODS--We prospectively studied 24 patients aged 50-75 years with the acute onset of isolated vertigo lasting > 48 h and no abnormality on neurological examination other than nystagmus. The study protocol included neuro-imaging (MRI 22 patients, CT 2 patients), Doppler sonography, and electro-oculography. RESULTS--MRI/CT showed the presence of an infarction of the caudal cerebellum in six patients (25%), 3 of whom had a potential cardioembolic source and normal Doppler sonography findings, whereas 3 patients had ipsilateral vertebral artery occlusion... (More)
INTRODUCTION--Elderly patients with isolated acute vertigo are commonly encountered in clinical practice, but little is known about the underlying cause of the symptoms. MATERIAL & METHODS--We prospectively studied 24 patients aged 50-75 years with the acute onset of isolated vertigo lasting > 48 h and no abnormality on neurological examination other than nystagmus. The study protocol included neuro-imaging (MRI 22 patients, CT 2 patients), Doppler sonography, and electro-oculography. RESULTS--MRI/CT showed the presence of an infarction of the caudal cerebellum in six patients (25%), 3 of whom had a potential cardioembolic source and normal Doppler sonography findings, whereas 3 patients had ipsilateral vertebral artery occlusion and normal cardiac findings. MRI of the posterior fossa was normal in 18 patients. On electro-oculography, ataxic pursuit eye movements was a characteristic finding in patients with cerebellar infarction, whereas caloric test findings were not discriminative. CONCLUSION--A caudal cerebellar infarction may easily be misdiagnosed clinically as a labyrinthine disorder, and was found to be the cause in one fourth of patients presenting with isolated acute vertigo. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Acta Neurologica Scandinavica
volume
91
issue
1
pages
43 - 48
publisher
Wiley-Blackwell
external identifiers
  • pmid:7732773
  • scopus:0028963176
ISSN
1600-0404
language
English
LU publication?
yes
id
f36f553c-3062-4331-9d34-7c8700115b86 (old id 1109308)
date added to LUP
2008-07-28 09:42:40
date last changed
2017-08-10 08:10:49
@article{f36f553c-3062-4331-9d34-7c8700115b86,
  abstract     = {INTRODUCTION--Elderly patients with isolated acute vertigo are commonly encountered in clinical practice, but little is known about the underlying cause of the symptoms. MATERIAL & METHODS--We prospectively studied 24 patients aged 50-75 years with the acute onset of isolated vertigo lasting > 48 h and no abnormality on neurological examination other than nystagmus. The study protocol included neuro-imaging (MRI 22 patients, CT 2 patients), Doppler sonography, and electro-oculography. RESULTS--MRI/CT showed the presence of an infarction of the caudal cerebellum in six patients (25%), 3 of whom had a potential cardioembolic source and normal Doppler sonography findings, whereas 3 patients had ipsilateral vertebral artery occlusion and normal cardiac findings. MRI of the posterior fossa was normal in 18 patients. On electro-oculography, ataxic pursuit eye movements was a characteristic finding in patients with cerebellar infarction, whereas caloric test findings were not discriminative. CONCLUSION--A caudal cerebellar infarction may easily be misdiagnosed clinically as a labyrinthine disorder, and was found to be the cause in one fourth of patients presenting with isolated acute vertigo.},
  author       = {Norrving, Bo and Magnusson, Måns and Holtås, Stig},
  issn         = {1600-0404},
  language     = {eng},
  number       = {1},
  pages        = {43--48},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Neurologica Scandinavica},
  title        = {Isolated acute vertigo in the elderly; vestibular or vascular disease?},
  volume       = {91},
  year         = {1995},
}