Isolated vertiginous dysequilibrium due to bilateral caudal cerebellar infarction
Lin, S.H.; Chang, Y.Y.; Lan, M.Y.; Wang, F.M.; Chen, W.H.; Liu, J.S.
Gaoxiong Yi Xue Ke Xue Za Zhi 11(3): 186-190
1995
ISSN/ISBN: 0257-5655 PMID: 7707469 Document Number: 450666
We present a 74-year-old woman who developed a sudden onset of vertigo, vomiting, and axial retropulsion without limb ataxia. A clinical diagnosis of acute peripheral labyrinthine lesion was made initially. However, magnetic resonance imaging demonstrated a small infarct area involving the caudal part of the cerebellar vermis and medial cerebellar hemispheres on both sides. We emphasize that a cautious attitude should be taken in managing patients with isolated vestibular dysfunction, especially in aged person or those associated with stroke risk factor.