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CNS Causes of Vertigo

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Can emergency physicians accurately rule out a central cause of vertigo using the HINTS exam? A systematic review and meta-analysis.

Robert Ohle, Renee-Anne Montpellier, Virginie Marchadier, Aidan Wharton, Sarah McIsaac, Mackenzie Anderson, David Savage,

INTRODUCTION:Dizziness is a common complaint presented in the emergency department. A subset of these patients will present with acute vestibular syndrome (AVS). AVS is a clinical syndrome defined by the presence of vertigo, nystagmus, head motion intolerance, ataxia, and nausea/vomiting. These symptoms are most often due to benign vestibular neuritis; ... Read more >>

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2020, :]

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Prognosis and Survival of Older Patients With Dizziness in Primary Care: A 10-Year Prospective Cohort Study.

Vincent A van Vugt, Gülsün Bas, Johannes C van der Wouden, Jacquelien Dros, Henk C P M van Weert, Lucy Yardley, Jos W R Twisk, Henriëtte E van der Horst, Otto R Maarsingh,

PURPOSE:The prognosis of older patients with dizziness in primary care is unknown. Our objective was to determine the prognosis and survival of patients with different subtypes and causes of dizziness. METHODS:In a primary care prospective cohort study, 417 older adults with dizziness (mean age 79 years) received a full diagnostic ... Read more >>

Ann Fam Med (Annals of family medicine)
[2020, 18(2):100-109]

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Human Temporal Bone Study of Vestibular Histopathology in Cochlear Implant Patients With Cochlear Hydrops.

Brooke M Su-Velez, Ivan A Lopez, Akira Ishiyama, Gail Ishiyama,

HYPOTHESIS:Endolymphatic hydrops (EH) associated with cochlear implantation are associated with vestibular dysfunction. BACKGROUND:Vestibular dysfunction is a known risk after cochlear implantation (CI). CI has been shown to cause cochlear hydrops due to fibrosis surrounding the ductus reuniens. However, the association of cochlear hydrops with vestibular hydrops and the relationship to ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2020, :]

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Physical therapy interventions for cervicogenic dizziness in a military-aged population: protocol for a systematic review.

Carrie W. Hoppes, Anthony J. Romanello, Kathryn E. Gaudette, William K. Herron, Anne E. McCarthy, Catherine J. McHale, Joan Bares, Rose Turner, Susan L. Whitney,

BackgroundTraumatic cervicogenic dizziness is dizziness that is temporally associated with neck pain and injury after other causes of dizziness have been excluded. It can lead to activity limitations and participation restrictions that may include lost duty or work days. The objective of this systematic review is to determine which interventions ... Read more >>

Syst Rev (Systematic reviews)
[2020, 9:]

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The Broad Concept of “Spasticity-Plus Syndrome” in Multiple Sclerosis: A Possible New Concept in the Management of Multiple Sclerosis Symptoms.

Óscar Fernández, Lucienne Costa-Frossard, Marisa Martínez-Ginés, Paloma Montero, José Maria Prieto, Lluis Ramió,

Multiple sclerosis (MS) pathology progressively affects multiple central nervous system (CNS) areas. Due to this fact, MS produces a wide array of symptoms. Symptomatic therapy of one MS symptom can cause or worsen other unwanted symptoms (anticholinergics used for bladder dysfunction produce impairment of cognition, many MS drugs produce erectile ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:]

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When the Room Is Spinning: Experience of Vestibular Neuritis by a Neurotologist.

Ji-Soo Kim,

Vestibular neuritis (VN) is the most common cause of acute prolonged spontaneous vertigo, and is characterized by acute unilateral vestibular hypofunction, probably due to inflammation of the vestibular nerve. VN is diagnosed at the bedside when there is spontaneous horizontal-torsional nystagmus beating away from the side of the lesion, abnormal ... Read more >>

Front Neurol (Frontiers in Neurology)
[2020, 11:157]

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Subclavian steal syndrome without Stenosis: A Case Report and Review of the Literature

Youhe Jin, Zhe Lou, Jun Yang, Chunyan Ma, Qiaobei Li, Xu Wang,

<title>Abstract</title> <p> Background:"Stealing" of the subclavian artery is a phenomenon where proximal subclavian artery stenosis or occlusion causes retrograde blood flow in the ipsilateral vertebral artery. This, combined with ischemic symptoms of vertebrobasilar arteries or ipsilateral upper limb artery, is called subclavian steal syndrome. Sometimes, subclavian steal syndrome ... Read more >>

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An Investigation of Hearing (250–20,000 Hz) in Children with Endocrine Diseases and Evaluation of Tinnitus and Vertigo Symptoms.

Murat Kocyigit, Selin Ustun Bezgin, Taliye Cakabay, Safiye Giran Ortekin, Melek Yıldız, Guven Ozkaya, Banu Aydın,

Introduction  Despite much advancement in medicine, endocrine and metabolic diseases remain an important cause of morbidity and even mortality in children. Objective  The present study was planned to investigate the evaluation of hearing that also includes high frequencies, and the presence and degree of vertigo and tinnitus symptoms in ... Read more >>

Int Arch Otorhinolaryngol (International Archives of Otorhinolaryngology)
[2020, 24(2):e198-e205]

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Vertigo and dizziness in the emergency room.

Andreas Zwergal, Marianne Dieterich,

PURPOSE OF REVIEW:To provide an update on diagnostic algorithms for differential diagnosis of acute vertigo and dizziness and swift identification of potentially harmful causes. RECENT FINDINGS:About 25% of patients with acute vertigo and dizziness have a potentially life-threatening diagnosis, including stroke in 4-15%. Diagnostic work-up relies on the combination of ... Read more >>

Curr. Opin. Neurol. (Current opinion in neurology)
[2020, 33(1):117-125]

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A Case of Perilymphatic Fistula with Inner Ear Anomaly Diagnosed Preoperatively by the Cochlin-Tomoprotein Detection Test.

Kana Lee, Naoki Ochi, Kohei Yamahara, Kunihiko Makino, Tetsuo Ikezono,

We present a case of perilymphatic fistula (PLF) with inner ear anomalies having sudden, progressive sensorineural hearing loss and describe the fistula repair surgeries. We focus on the diagnosis methods of PLF and clinical course of PLF with inner ear anomaly. The cochlin-tomoprotein (CTP) detection test is very useful for ... Read more >>

(Case Reports in Otolaryngology)
[2020, 2020:]

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Surgical complications of cochlear implantation: a 25-year retrospective analysis of cases in a tertiary academic center.

Adem Binnetoglu, Berat Demir, Caglar Batman,

PURPOSE:Despite the advances made in cochlear implantation techniques, the associated complication rates are still high. Here, we aimed to analyze cases, with extensive follow-up data, associated with a large sample of patients to identify complications related to cochlear implants and to present our surgical experience and the technique that we ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, :]

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Internal Carotid Artery Dissection Presenting as Partial Horner's Syndrome and Vertigo.

Jeffrey C Teixeira, Paula J Jackson,

Distinguishing between central and peripheral causes of vertigo can be challenging not only in an acute setting but also in chronic settings. A thorough review of systems and physical exam can assist providers in differentiating central versus peripheral etiologies and the need for urgent imaging. In this case, a 47-year-old ... Read more >>

Mil Med (Military medicine)
[2020, :]

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The efficacy and safety of acupuncture for Ramsay Hunt syndrome: A protocol for systematic review.

Ruijing Tan, Xingxin Yang, Xian Tang, Wenjie Ma, Lifen He,

BACKGROUND:Ramsay Hunt syndrome (RHS), also known as Hunt syndrome, is caused by varicella-zoster virus infection. The virus often invades the facial nerve geniculate ganglion to cause peripheral facial paralysis, accompanied by severe ear pain, auricular herpes zoster, tinnitus, deafness, vertigo, and other inner ear neurologic symptoms. The acupuncture has a ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(13):e19582]

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Differential diagnosis of acute vascular vertigo.

Seung-Han Lee, Ji-Soo Kim,

PURPOSE OF REVIEW:The current review covers recent advances in vascular vertigo in terms of diagnostic strategies, clinical/laboratory features, pathophysiology, and differential diagnosis. RECENT FINDINGS:Acute strokes presenting with isolated dizziness/vertigo without other obvious symptoms or signs of central nervous system involvements may be easily mistaken as peripheral vestibulopathy. For correct diagnosis ... Read more >>

Curr. Opin. Neurol. (Current opinion in neurology)
[2020, 33(1):142-149]

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Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report.

Mohsen Tabasi, Seyed Alireza Javadinia, Seyed Davar Siadat, Sana Eybpoosh, Mohammad Reza Yazdannasab, Milad Kheirvari, Fezzeh Elyasinia, Saeed Bayanolhagh, Amin Radmanesh, Ahmadreza Soroush,

Laparoscopic sleeve gastrectomy (LSG) is an effective treatment option in patients with morbid obesity, with rare long-term sideeffects. In this report, we present a 42-year-old woman who reported positional vertigo and unilateral gradual hearing loss plus continuous tinnitus after LSG. The patient had no signs or symptoms of mental health ... Read more >>

Diabetes Metab Syndr Obes (Diabetes, metabolic syndrome and obesity : targets and therapy)
[2020, 13:387-390]

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Middle-ear cholesteatoma co-existing with labyrinthine fistula and vestibular schwannoma.

Aleksander Zwierz, K Masna, P Burduk,

BACKGROUND:Many conditions, among them vestibular schwannoma and middle ear cholesteatoma with lateral semicircular canal destruction, may be associated with asymmetrical sensorineural hearing loss (SNHL) and vertigo. However, the probability that these two distinct disease entities causing the same symptoms occur in a single patient is very low, approximately 1 per ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, 277(4):999-1003]

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A Novel CCM2 Gene Mutation Associated With Cerebral Cavernous Malformation.

Lipeng Yang, Jian Wu, Jing Zhang,

Cerebral cavernous malformations (CCMs) are the second most prevalent type of vascular malformation within the central nervous system. CCMs occur in two forms-sporadic and familial-the latter of which has an autosomal dominant mode of inheritance with incomplete penetrance and variable clinical expressivity. There are three genes considered to be associated ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:70]

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Is drug consumption correlated with benign paroxysmal positional vertigo (BPPV) recurrence?

Pasqualina Maria Picciotti, Tiziana Di Cesare, Laura Tricarico, Eugenio De Corso, Jacopo Galli, Gaetano Paludetti,

BACKGROUND:Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo and its recurrence is fairly common. Several studies correlated the pathophysiological role of different comorbidities-such as diabetes, osteoporosis, vascular, psychiatric and autoimmune diseases-in the development and recurrence of BPPV. The aim of this study is to analyse ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, :]

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Sudden Hearing Loss and Vertigo Caused by a Transitional Meningioma in Pregnancy.

Yinfei Liang, Bixing Fang, Dan Chen, Shuqi Zhang, Xifu Wu, Xiangli Zeng,

Ear Nose Throat J (Ear, nose, & throat journal)
[2020, :145561320901401]

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A Variation in FGF14 Is Associated with Downbeat Nystagmus in a Genome-Wide Association Study.

Michael Strupp, Stephan Maul, Bettina Konte, Annette M Hartmann, Ina Giegling, Sophia Wollenteit, Katharina Feil, Dan Rujescu,

Downbeat nystagmus (DBN) is a frequent form of acquired persisting central fixation nystagmus, often associated with other cerebellar ocular signs, such as saccadic smooth pursuit or gaze-holding deficits. Despite its distinct clinical features, the underlying etiology of DBN often remains unclear. Therefore, a genome-wide association study (GWAS) was conducted in ... Read more >>

Cerebellum (Cerebellum (London, England))
[2020, :]

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[Increased Ventricular Pacing Threshold Caused by Intake of Dronedaron].

Katharina Wedler, Árpad Dávid, Thomas Körber,

HISTORY: The 75 year old patient was hospitalized because of vertigo, exertional dyspnea and clamminess. Based on ischemic heart disease with sick sinus syndrome a pacemaker was implanted 5.5 years ago. In consequence of non-permanent atrial fibrillation Dronedaron was added to medication 8 months ago. FINDINGS AND DIAGNOSIS: The patient presented unstable. The ... Read more >>

Dtsch. Med. Wochenschr. (Deutsche medizinische Wochenschrift (1946))
[2020, 145(4):249-251]

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Neuroleptic Agent Toxicity

Marina Boushra, Shivaraj Nagalli,

Neuroleptic agents, otherwise known as 'antipsychotics,' are a broad category of medications initially developed to treat psychosis arising from a large spectrum of psychiatric and organic causes. Over the last two decades, the use of neuroleptics in the treatment of non-psychiatric disorders has increased, and these medications are now used ... Read more >>

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[Vertigo as the first manifestation of ovarian cancer].

M T D Weiland, W P J van Oosterhout, S D Bakker,

BACKGROUND:Vertigo is a common complaint and may rarely be the presenting symptom of a paraneoplastic neurological syndrome (PNS). CASE DESCRIPTION:A 76-year-old woman presented at the ER with subacute cerebellar syndrome and severe vertigo. Laboratory testing revealed mild anaemia. A cerebral CT scan showed no intracranial pathology. The patient was admitted ... Read more >>

Ned Tijdschr Geneeskd (Nederlands tijdschrift voor geneeskunde)
[2020, 164:]

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Can Hashimoto's thyroiditis cause vertigo? [Czy choroba Hashimoto może być przyczyną zawrotów głowy?].

Katarzyna A Miśkiewicz-Orczyk, Grażyna Lisowska, Dariusz Kajdaniuk, Matuesz Wojtulek,

Vertigo and balance disorders are common symptoms reported by approximately 15-20% of the adult population worldwide. For many years thyroid diseases have been suspected as the cause of vertigo by ENT physicians. Almost every patient hospitalised due to severe vertigo is investigated for thyroid disease as a suspected cause of ... Read more >>

Endokrynol Pol (Endokrynologia Polska)
[2020, 70(1):76-86]

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Traumatic benign paroxysmal positional vertigo caused by cannon fire.

Ryan Dale Kauffman,

Benign paroxysmal positional vertigo (BPPV) is the most common cause of vestibular vertigo. BPPV is characterised by brief episodes of vertigo that occur with movement of the head. Almost a quarter of cases of BPPV have a traumatic cause, but no cases of traumatic BPPV due to indirect trauma were ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(1):]

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