A Case of Isolated Nodular Infarction Mimicking Vestibular Neuritis on the Contralateral Side
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Differentiating central vestibulopathy from more common vestibular disorders is crucial because it often necessitates different treatment strategies, and early detection can help to minimize potential complications. Isolated nodular infarct is one of the central brain lesions that can mimic peripheral vertigo. We present a case of isolated nodular infarct that had been misdiagnosed as vestibular neuritis on the contralateral side at the initial evaluation. The patient was successfully treated with anticoagulants and antihyperlipidemic agents. Clinicians should keep in mind that some causes of central vertigo mimic peripheral vestibulopathy at the early stage.
Abstract
Differentiating central vestibulopathy from more common vestibular disorders is crucial because it often necessitates different treatment strategies, and early detection can help to minimize potential complications. Isolated nodular infarct is one of the central brain lesions that can mimic peripheral vertigo. We present a case of isolated nodular infarct that had been misdiagnosed as vestibular neuritis on the contralateral side at the initial evaluation. The patient was successfully treated with anticoagulants and antihyperlipidemic agents. Clinicians should keep in mind that some causes of central vertigo mimic peripheral vestibulopathy at the early stage.
참고문헌 (14)
- Jeong SH, "Vestibular neuritis", Semin Neurol, 33, pp.185~194 (2013)
- Oron Y, "Cardiovascular risk factors among patients with vestibular neuritis", Ann Otol Rhinol Laryngol, 126, pp.597~601 (2017)
- Baloh RW, "Clinical practice. Vestibular neuritis", N Engl J Med, 348, pp.1027~1032 (2003)
- Ahn SH, "Final diagnosis of patients with clinically suspected vestibular neuritis showing normal caloric response", J Clin Neurosci, 41, pp.107~110 (2017)
- Lee H, "A case of isolated nodulus infarction presenting as a vestibular neuritis", J Neurol Sci, 221, pp.117~119 (2004)
- Tong DC, "Correlation of perfusion- and diffusion-weighted MRI with NIHSS score in acute (<6.5 hour) ischemic stroke", Neurology, 50, pp.864~870 (1998)
- Nelson JA, "The clinical differentiation of cerebellar infarction from common vertigo syndromes", West J Emerg Med, 10, pp.273~277 (2009)
- Bhattacharyya N, "Clinical practice guideline: benign paroxysmal positional vertigo (update)", Otolaryngol Head Neck Surg, 156(3_suppl), pp.S1~S47 (2017)
- Moon IS, "Isolated nodular infarction", Stroke, 40, pp.487~491 (2009)
- Tawk RG, "Isolated dissections and dissecting aneurysms of the posterior inferior cerebellar artery: topic and literature review", Neurosurg Rev, 26, pp.180~187 (2003)
- Guler A, "Clinical and video head impulse test in the diagnosis of posterior circulation stroke presenting as acute vestibular syndrome in the emergency department", 27, pp.233~242 (2017)
- Nam J, "Ageotropic central positional nystagmus in nodular infarction", Neurology, 73, pp.1163~ (2009)
- Kim HA, "Apogeotropic central positional nystagmus as a sole sign of nodular infarction", Neurol Sci, 33, pp.1189~1191 (2012)
- 최영철, "하늘방향 중추돌발체위안진을 보인 소뇌결절경색", 대한신경과학회지, 34(3), pp.259~260 (2016), 대한신경과학회[DOI]