Medullary hemorrhage causing vertigo and gaze nystagmus
Mazagri, R.; Shuaib, A.; Denath, F.M.
Ear Nose and Throat Journal 71(9): 402-403
1992
ISSN/ISBN: 0145-5613 PMID: 1425379 Document Number: 393855
Brainstem hematomas carry a poor prognosis. There are rare reports of excellent outcome with hemorrhages in the midbrain. We report a 43-year-old woman with vertigo and minimal neurological symptoms, whose symptoms were initially mistaken for "inner ear disease," but subsequent investigations revealed a medullary hemorrhage. Recovery was complete within two weeks. While rare, medullary hemorrhage should be considered in the differential diagnosis of vertigo.