급성 중추성 현훈
Acute Central Vertigo
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Acute vertigo is a common symptom at the otolaryngology clinics or the Emergency Department. Also, many otolaryngologists see these patients first or they are referred from the Emergency Department. Although the stroke incidence in all dizzy patients is relatively low, the misdiagnosis of central vertigo may lead to serious morbidity and even mortality. Nevertheless, it is difficult to diagnose in vertigo patients whether the origin is central or not, especially at the initial visit. The purpose of this clinical review was to investigate clinical findings of acute central vertigo and to suggest the recent advance of differential diagnosis in these patients from peripheral vestibulopathy. We also suggest an appropriate practice for the radiologic investigation in these patients. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(8):504-10
Abstract
Acute vertigo is a common symptom at the otolaryngology clinics or the Emergency Department. Also, many otolaryngologists see these patients first or they are referred from the Emergency Department. Although the stroke incidence in all dizzy patients is relatively low, the misdiagnosis of central vertigo may lead to serious morbidity and even mortality. Nevertheless, it is difficult to diagnose in vertigo patients whether the origin is central or not, especially at the initial visit. The purpose of this clinical review was to investigate clinical findings of acute central vertigo and to suggest the recent advance of differential diagnosis in these patients from peripheral vestibulopathy. We also suggest an appropriate practice for the radiologic investigation in these patients. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(8):504-10
참고문헌 (44)
- Baloh RW, "Vertigo", Lancet, 352(9143), pp.1841~1846 (1998)
- Crespi V, "Dizziness and vertigo: an epidemiological survey and patient management in the emergency room", Neurol Sci, 25(Suppl 1), pp.S24~S25 (2004)
- Kerber KA, "Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study", Stroke, 37(10), pp.2484~2487 (2006)
- Kim AS, "Risk of vascular events in emergency department patients discharged home with diagnosis of dizziness or vertigo", Ann Emerg Med, 57(1), pp.34~41 (2011)
- Kase CS, "Cerebellar infarction. Clinical and anatomic observations in 66 cases", Stroke, 24(1), pp.76~83 (1993)
- Koh MG, "Neuroimaging in deteriorating patients with cerebellar infarcts and mass effect", Stroke, 31(9), pp.2062~2067 (2000)
- Macdonell RA, "Cerebellar infarction:natural history, prognosis, and pathology", Stroke, 18(5), pp.849~855 (1987)
- Johkura K, "Central paroxysmal positional vertigo: isolated dizziness caused by small cerebellar hemorrhage", Stroke, 38(6), pp.e26~e27 (2007)
- Lee CC, "Risk of stroke in patients hospitalized for isolated vertigo: a four-year follow-up study", Stroke, 42(1), pp.48~52 (2011)
- Lee H, "Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns", Neurology, 67(7), pp.1178~1183 (2006)
- Chalela JA, "Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison", Lancet, 369(9558), pp.293~298 (2007)
- Simmons Z, "Cerebellar infarction: comparison of computed tomography and magnetic resonance imaging", Ann Neurol, 19(3), pp.291~293 (1986)
- Lövblad KO, "Clinical experience with diffusion-weighted MR in patients with acute stroke", AJNR Am J Neuroradiol, 19(6), pp.1061~1066 (1998)
- 남궁인, "초기 확산강조 MR 영상에서 음성을 보인 급성기 뇌경색 환자의 임상 양상", 대한응급의학회지, 24(4), pp.396~402 (2013), 대한응급의학회
- Küker W, "MRI characteristics of acute and subacute brainstem and thalamic infarctions: value of T2- and diffusion-weighted sequences", J Neurol, 249(1), pp.33~42 (2002)
- Tarnutzer AA, "Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome", CMAJ, 183(9), pp.E571~E592 (2011)
- Savitz SI, "Vertebrobasilar disease", N Engl J Med, 352(25), pp.2618~2626 (2005)
- Karatas M, "Vascular vertigo: epidemiology and clinical syndromes", Neurologist, 17(1), pp.1~10 (2011)
- Tatu L, "Arterial territories of human brain: brainstem and cerebellum", Neurology, 47(5), pp.1125~1135 (1996)
- Guntinas-Lichius O, "Acute vestibular syndrome", N Engl J Med, 340(2), pp.151~152 (1999)
- Hotson JR, "Acute vestibular syndrome", N Engl J Med, 339(10), pp.680~685 (1998)
- Kattah JC, "HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging", Stroke, 40(11), pp.3504~3510 (2009)
- Seemungal BM, "Neuro-otological emergencies", Curr Opin Neurol, 20(1), pp.32~39 (2007)
- Kim HA, "Recent advances in central acute vestibular syndrome of a vascular cause", J Neurol Sci, 321(1-2), pp.17~22 (2012)
- Choi KD, "Vertigo in brainstem and cerebellar strokes", Curr Opin Neurol, 26(1), pp.90~95 (2013)
- Chang TP, "A tiny infarct on the dorsolateral pons mimicking vestibular neuritis", Laryngoscope, 120(11), pp.2336~2338 (2010)
- Kim HA, "Isolated vestibular nucleus infarction mimicking acute peripheral vestibulopathy", Stroke, 41(7), pp.1558~1560 (2010)
- Ahn BY, "Pseudovestibular neuritis associated with isolated insular stroke", J Neurol, 257(9), pp.1570~1572 (2010)
- Brandt T, "Rotational vertigo in embolic stroke of the vestibular and auditory cortices", Neurology, 45(1), pp.42~44 (1995)
- Lee H, "Sudden deafness and anterior inferior cerebellar artery infarction", Stroke, 33(12), pp.2807~2812 (2002)
- Newman-Toker DE, "Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis", Neurology, 70(24 PT 2), pp.2378~2385 (2008)
- Kirchner H, "Clinical, electrophysiological, and MRI findings in patients with cerebellar ataxia and a bilaterally pathological head-impulse test", Ann N Y Acad Sci, 1233, pp.127~138 (2011)
- Kim MB, "Nystagmus-based approach to vertebrobasilar stroke presenting as vertigo without initial neurologic signs", Eur Neurol, 70(5-6), pp.322~328 (2013)
- Baier B, "Incidence and anatomy of gaze-evoked nystagmus in patients with cerebellar lesions", Neurology, 76(4), pp.361~365 (2011)
- Choi KD, "Head-shaking nystagmus in central vestibulopathies", Ann N Y Acad Sci, 1164, pp.338~343 (2009)
- Choi KD, "Head-shaking nystagmus in lateral medullary infarction: patterns and possible mechanisms", Neurology, 68(17), pp.1337~1344 (2007)
- Hain TC, "Head-shaking nystagmus in patients with unilateral peripheral vestibular lesions", Am J Otolaryngol, 8(1), pp.36~47 (1987)
- Jeong HS, "Periodic alternating nystagmus in isolated nodular infarction", Neurology, 68(12), pp.956~957 (2007)
- Strupp M, "Central oculomotor disturbances and nystagmus: a window into the brainstem and cerebellum", Dtsch Arztebl Int, 108(12), pp.197~204 (2011)
- 이형, "돌발성 난청과 현훈을 유일한 증상으로 가진 전하소뇌동맥경색 1예", 대한신경과학회지, 22(6), pp.643~645 (2004), 대한신경과학회
- Braun EM, "Misdiagnosis of acute peripheral vestibulopathy in central nervous ischemic infarction", Otol Neurotol, 32(9), pp.1518~1521 (2011)
- Soto-Varela A, "Revised criteria for suspicion of non-benign positional vertigo", QJM, 106(4), pp.317~321 (2013)
- Choi KD, "Rotational vertebral artery syndrome: oculographic analysis of nystagmus", Neurology, 65(8), pp.1287~1290 (2005)
- Strupp M, "Rotational vertebral artery occlusion syndrome with vertigo due to “labyrinthine excitation”", Neurology, 54(6), pp.1376~1379 (2000)