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The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes
This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of common vertigo syndromes such as benign paroxysmal positional vertigo...
Autores principales: | , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791733/ https://www.ncbi.nlm.nih.gov/pubmed/20046249 |
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author | Nelson, James A. Viirre, Erik |
author_facet | Nelson, James A. Viirre, Erik |
author_sort | Nelson, James A. |
collection | PubMed |
description | This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of common vertigo syndromes such as benign paroxysmal positional vertigo, Meniere’s disease, migrainous vertigo, and vestibular neuritis is summarized. Confirmation of a peripheral vertigo syndrome substantially lowers the likelihood of cerebellar infarction, as do indicators of a peripheral disorder such as an abnormal head impulse test. Approximately 10% of patients with cerebellar infarction present with vertigo and no localizing neurologic deficits. The majority of these may have other signs of central vertigo, specifically direction-changing nystagmus and severe ataxia. |
format | Text |
id | pubmed-2791733 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-27917332009-12-31 The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes Nelson, James A. Viirre, Erik West J Emerg Med Neuro-Psychiatric This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of common vertigo syndromes such as benign paroxysmal positional vertigo, Meniere’s disease, migrainous vertigo, and vestibular neuritis is summarized. Confirmation of a peripheral vertigo syndrome substantially lowers the likelihood of cerebellar infarction, as do indicators of a peripheral disorder such as an abnormal head impulse test. Approximately 10% of patients with cerebellar infarction present with vertigo and no localizing neurologic deficits. The majority of these may have other signs of central vertigo, specifically direction-changing nystagmus and severe ataxia. Department of Emergency Medicine, University of California, Irvine School of Medicine 2009-11 /pmc/articles/PMC2791733/ /pubmed/20046249 Text en Copyright © 2009 the authors. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Neuro-Psychiatric Nelson, James A. Viirre, Erik The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes |
title | The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes |
title_full | The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes |
title_fullStr | The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes |
title_full_unstemmed | The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes |
title_short | The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes |
title_sort | clinical differentiation of cerebellar infarction from common vertigo syndromes |
topic | Neuro-Psychiatric |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791733/ https://www.ncbi.nlm.nih.gov/pubmed/20046249 |
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