Vertigo is the most common symptom of transient ischemia within the vertebrobasilar system. Episodes typically come on abruptly and last minutes. Although there are usually associated symptoms, isolated attacks of vertigo can occur. Vertigo is also a common symptom with brain stem and cerebellar strokes. Isolated cerebellar infarction can mimic peripheral vestibular disorders because vertigo and imbalance are the main symptoms with both disorders. Modern neuroimaging techniques have markedly improved diagnostic capabilities.
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References
1.
WilliamsDWilsonTG. The diagnosis of the major and minor syndromes of basilar insufficiencyBrain1962;85:741–74
2.
FisherCM. Vertigo in cerebrovascular diseasesArch Otolaryngol Head Neck Surg1967;85:529–34
3.
FieldsWSWeibelJ. Effects of vascular disorders on the vestibular system In: FieldsWSAlfordBR, eds. Neurological aspects of auditory and vestibular disorders.Springfield, Ill.: Thomas, 1964:1–36
4.
GradABalohRW. Vertigo of vascular origin: Clinical and ENG features in 84 casesArch Neurol1989;46:281–4
5.
SchuknechtHF. Pathology of the ear.Cambridge, Mass.: Harvard University Press, 1974:23–96
6.
OasJGBalohRW. Vertigo and the anterior inferior cerebellar artery syndromeNeurology1992;42:2274–9
7.
BalohRWHonrubiaVJacobsonK. Benign positional vertigo: Clinical and oculographic features in 240 casesNeurology1987;37:371–8
HuangCYYuYL. Small cerebellar strokes may mimic labyrinthine lesionsJ Neurol Neurosurg Psychiatry1985;48:263–5
14.
TienRDWilkinsRH. MRA delineation of the vertebrobasilar system in patients with hemifacial spasm and trigeminal neuralgiaAJNR Am J Neuroradiol1993;14:34–6
15.
BogousslavskyJFoxAJBarnettHjmHachinskiVCVinitskiSCareyLS. Clinicotopographic correlation of small vertebrobasilar infarct using magnetic resonance imagingStroke1986;17:929–35
