

The clinical manifestations consisted of rotatory dizziness intensified by motion, nausea, vomiting, imbalance, and nystagmus. We have studied three cases, two clinocaopthologically and one clinicosurgically, in which an acute infarct involving only the cerebellum lay in the PICA territory distal to the branches to the medulla oblongata. doi: 10.1212/WNL.Although old or recent infarcts of a cerebellar hemisphere in the territories of the posterior inferior (PICA), superior, or anterior inferior cerebellar arteries are commonplace autopsy findings, in no case have corresponding clinical symptoms been clearly identified. Kerber KA, Meurer WJ, Brown DL et al (2015) Stroke risk stratification in acute dizziness presentations: a prospective imaging-based study. doi: 10.1016/j.annemergmed.2015.03.009Ĭhen L, Todd M, Halmagyi GM, Aw S (2014) Head impulse gain and saccade analysis in pontine-cerebellar stroke and vestibular neuritis. Venhovens J, Meulstee J, Verhagen WIM (2015) The negative predictive value of the head impulse test, nystagmus, and test of skew deviation bedside oculomotor examination in acute vestibular syndrome. Lee H, Kim JS, Chung EJ et al (2009) Infarction in the territory of anterior inferior cerebellar artery: spectrum of audiovestibular loss. Lee H (2012) Audiovestibular loss in anterior inferior cerebellar artery territory infarction: a window to early detection? J Neurol Sci 313:153–159. Lee H, Sohn SI, Jung DK et al (2002) Sudden deafness and anterior inferior cerebellar artery infarction. Jeong SH, Kim HJ, Kim JS (2013) Vestibular neuritis. Searls DE (2012) Symptoms and signs of posterior circulation ischemia in the new England medical center posterior circulation registry. doi: 10.1007/s0041-4Īkhtar N, Kamran SI, Deleu D et al (2009) Ischaemic posterior circulation stroke in State of Qatar. doi: 10.1503/cmaj.100174Ĭhen L, Lee W, Chambers BR, Dewey HM (2011) Diagnostic accuracy of acute vestibular syndrome at the bedside in a stroke unit. Tarnutzer AA, Berkowitz AL, Robinson KA et al (2011) Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. Newman-Toker DE (2016) Missed stroke in acute vertigo and dizziness: it is time for action, not debate. Newman-Toker DE, Curthoys IS, Halmagyi GM (2015) Diagnosing stroke in acute vertigo: the HINTS family of eye movement tests and the future of the “Eye ECG”. Kattah JC, Talkad AV, Wang DZ et al (2009) HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. doi: 10.1111/acem.12339Įdlow JA (2013) Diagnosing dizziness: we are teaching the wrong paradigm! Acad Emerg Med 20:1064–1066. Kohn MA (2014) HINTS to identify stroke in ED patients with dizziness. doi: 10.1097/MAO.0000000000000638Ĭohn B (2014) Can bedside oculomotor (HINTS) testing differentiate central from peripheral causes of vertigo? Ann Emerg Med 64:265–268. Mantokoudis G, Tehrani ASS, Wozniak A et al (2015) VOR gain by head impulse video-oculography differentiates acute vestibular neuritis from stroke. Newman-Toker DE, Saber Tehrani AS, Mantokoudis G et al (2013) Quantitative video-oculography to help diagnose stroke in acute vertigo and dizziness: toward an ECG for the eyes. Newman-Toker DE, Kerber KA, Hsieh YH et al (2013) HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Tehrani ASS, Kattah JC, Mantokoudis G et al (2014) Small strokes causing severe vertigo: frequency of false-negative MRIs and nonlacunar mechanisms. Lee H, Sohn SI, Cho YW et al (2006) Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns. Kerber KA, Brown DL, Lisabeth LD et al (2006) Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Grewal K, Austin PC, Kapral MK et al (2015) Missed strokes using computed tomography imaging in patients with vertigo: population-based cohort study. Kim JS, Lee H (2013) Vertigo due to posterior circulation stroke.

Seemungal BM, Bronstein AM (2008) A practical approach to acute vertigo. Kim MB, Boo SH, Ban JH (2013) Nystagmus-based approach to vertebrobasilar stroke presenting as vertigo without initial neurologic signs. Venhovens J, Meulstee J, Verhagen WIM (2016) Vestibular evoked myogenic potentials (VEMPs) in central neurological disorders. Nouh A, Remke J, Ruland S (2014) Ischemic posterior circulation stroke: a review of anatomy, clinical presentations, diagnosis, and current management.
