| Autor: |
Sertaç Yetişer, Yaşar Kütükçü, Kutlay Kahraman |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Journal of Otology, Vol 14, Iss 4, Pp 158-161 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1672-2930 |
| DOI: |
10.1016/j.joto.2019.08.001 |
| Popis: |
Objective: An acute onset central pathology without any clear neurological symptoms may mimic peripheral vestibular problem in an emergency setting. A 54-year-old man suddenly developed dizziness without any cranial nerve symptoms, paresis, cerebellar signs or sensory disturbances except upbeat positional nystagmus at multiple provoked positions which alerted for a possible acute central pathology. Findings: An instantaneous magnetic resonance imaging and angiography studies further showed obstruction of the left internal carotid artery above the bifurcation. The patient’s subsequent prognosis was consistent with good recovery following anti-coagulant therapy. A follow-up MRI and angiography showed resolution of thrombosis. Conclusion: It should be kept in mind that positional nystagmus is likely to occur in central pathologies. Differentiation between benign paroxysmal positional vertigo and central positioning nystagmus is critical. Keywords: Upbeat nystagmus, Positional maneuver, Carotid artery occlusion |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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