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Neurologic Manifestations of Benign Positional Vertigo

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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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A Clinical Case of Patient Carrying Rare Pathological PSEN1 Gene Mutation (L424V) Demonstrates the Phenotypic Heterogenity of Early Onset Familial AD.

Kaloyan R Stoychev, Maya Stoimenova-Popova, Petranka Chumpalova, Lilia Ilieva, Mohamed Swamad, Zornitsa Kamburova-Martinova,

Dementia comprises several neurodegenerative disorders with similar neuropsychiatric features and Alzheimer's disease (AD) is the most common of them. Genetic factors are strongly implicated into its etiology especially for early-onset cases (EOAD) occuring before the age of 65. About 10% of these are inherited in autosomal dominant fashion via pathogenic ... Read more >>

Front Psychiatry (Frontiers in psychiatry)
[2019, 10:857]

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Atrial myxoma with cerebellar signs: a case report.

Suraj Shrestha, Akash Raut, Amar Jayswal, Randhir Sagar Yadav, Chandra Mani Poudel,

BACKGROUND:Atrial myxoma remains a rare clinical entity with an incidence of surgically resected cases of 0.5-0.7 per million population and prevalence of < 5 per 10,000. It typically manifests in woman after third decade of life; symptoms vary greatly and may present with arrhythmia, intracardiac flow obstruction, embolic phenomenon, and associated ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2020, 14(1):29]

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Necrotizing Sarcoid Granulomatosis: A Disease Not to be Forgotten.

A I Parejo-Morón, M L Tornero-Divieso, M R Férnandez-Díaz, L Muñoz-Medina, O Preda, N Ortego-Centeno,

Sarcoidosis is a systemic granulomatous disease of unknown aetiology characterised by the appearance of noncaseifying epithelioid granulomas in the affected organs, most commonly the lungs, skin, and eyes (Iannuzzi et al. 2007). Necrotizing Sarcoid Granulomatosis (NGS) is a rare and little-known form of disease, which also presents nodular lung lesions, ... Read more >>

Case Rep Med (Case Reports in Medicine)
[2020, 2020:5730704]

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Antiepileptic Overdose.

Shakuntala Murty,

Antiepileptics include various groups of drugs that have different mechanisms of actions and adverse effects. They are often also used to treat other disorders such as psychosis, chronic pain, and migraine. The most common drugs implicated in overdose include phenytoin, sodium valproate, carbamazepine, and phenobarbital. Common signs of toxicity of ... Read more >>

Indian J Crit Care Med (Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine)
[2019, 23(Suppl 4):S290-S295]

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Vestibular Migraine: How to Sort it Out and What to Do About it.

Shin C Beh,

BACKGROUND:Vestibular migraine (VM) is the most common neurologic cause of vertigo in adults and results in significant utilization of health care resources, but remains under-recognized and underdiagnosed. EVIDENCE ACQUISITION:Review of literature in PubMed using the following terms: vestibular migraine, migraine-associated vertigo, vertiginous migraine, benign recurrent vertigo, migraine-associated dizziness, migraine, migraine ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2019, 39(2):208-219]

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Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report.

Axel Ferreira, Paulo S Coelho, Vítor Tedim Cruz,

BACKGROUND:A persistent trigeminal artery (PTA) is a non-involuted embryonic vessel that connects the cavernous part of the internal carotid artery with the posterior circulation. In the adult it is associated with multiple pathological conditions including trigeminal neuralgia, ophthalmoplegia, hypopituitarism, intracavernous fistula, brain aneurysms and posterior circulation strokes. The latter may ... Read more >>

BMC Neurol (BMC neurology)
[2019, 19(1):257]

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Results and lessons learnt from a randomized controlled trial: prophylactic treatment of vestibular migraine with metoprolol (PROVEMIG).

Otmar Bayer, Christine Adrion, Amani Al Tawil, Ulrich Mansmann, Michael Strupp, ,

BACKGROUND:Vestibular migraine (VM) is the most frequent cause of recurrent spontaneous attacks of vertigo causally related to migraine. The objective of the Prophylactic treatment of vestibular migraine with metoprolol (PROVEMIG) trial was to demonstrate that metoprolol succinate is superior to placebo in the prevention of episodic vertigo- and migraine-related symptoms ... Read more >>

Trials (Trials)
[2019, 20(1):813]

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Migraine and episodic Vertigo: a cohort survey study of their relationship.

Christian Lampl, Alan Rapoport, Moris Levin, Elisabeth Bräutigam,

BACKGROUND AND AIM:Migraine headache and vestibular-type vertigo co-occur in the general population about three times more often than expected by chance. Attacks of episodic vertigo (eV) are currently not recognized as migraine equivalents or variants in the International Classification of Headache Disorders, 3rd edition (ICHD III). No strong data exist ... Read more >>

J Headache Pain (The journal of headache and pain)
[2019, 20(1):33]

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Multidisciplinary experts consensus for assessment and management of vestibular migraine.

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Chin. Med. J. (Chinese medical journal)
[2019, 132(2):183-189]

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Association Between Migraine and Benign Paroxysmal Positional Vertigo Among Adults in South Korea.

Sung Kyun Kim, Seok Min Hong, Il-Seok Park, Hyo Geun Choi,

Importance:Patients with migraine often experience various types of vertigo, and several studies have suggested an epidemiologic and physiologic association of migraine and vertigo with vestibule. However, few researchers have investigated the association between migraine and benign paroxysmal positional vertigo (BPPV). Objective:To determine the incidence of BPPV in individuals with migraine ... Read more >>

JAMA Otolaryngol Head Neck Surg (JAMA otolaryngology-- head & neck surgery)
[2019, 145(4):307-312]

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Primary CNS Lymphoma Arising from the 4th Ventricle: A Case Report and Review of the Literature.

Ava Brozovich, Donald Ewing, Ethan Burns, Courtney Hatcher, Gonzalo Acosta, Usman Khan, Betty Chung, Leena Samuel, Jasleen Randhawa, Sai Ravi Pingali,

A 65-year-old male with a history of ischemic strokes, seizures, and subarachnoid hemorrhage presented with a 4-week history of progressive diplopia, vertigo, nausea, and vomiting. Magnetic resonance imaging (MRI) revealed a 2.5 × 1.8 × 1.7 cm posterior fossa mass arising from the roof of the 4th ventricle extending into ... Read more >>

Case Rep Oncol Med (Case reports in oncological medicine)
[2019, 2019:2671794]

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Incidence of acute cerebral infarction or space occupying lesion among patients with isolated dizziness and the role of D-dimer.

Sion Jo, Taeoh Jeong, Jae Baek Lee, Youngho Jin, Jaechol Yoon, Boyoung Park,

BACKGROUND:To determine the incidence of acute cerebral infarction or space occupying lesion (SOL) among patients with isolated vertigo or dizziness (IVD) and to evaluate the role of cerebellar function test (CFT) and D-dimer to discriminate ACI/SOL and non-ACI/SOL. METHODS:A retrospective study of consecutive emergency department (ED) patients with IVD during ... Read more >>

PLoS ONE (PloS one)
[2019, 14(3):e0214661]

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Posterior circulation stroke diagnosis using HINTS in patients presenting with acute vestibular syndrome: A systematic review.

Kailash Krishnan, Kerolos Bassilious, Erik Eriksen, Philip M Bath, Nikola Sprigg, Sigrun Kierulf Brækken, Hege Ihle-Hansen, Morten Andreas Horn, Else Charlotte Sandset,

Purpose:Acute vestibular syndrome - vertigo, nausea/vomiting, nystagmus and gait unsteadiness - is common, and differentiating posterior circulation stroke from a peripheral cause can be challenging. The National Institute of Health Stroke Scale (NIHSS) does not include acute vestibular syndrome, and early computed tomography scanning cannot rule out acute ischaemia. A ... Read more >>

Eur Stroke J (European stroke journal)
[2019, 4(3):233-239]

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Consensus Paper. Cerebellar Reserve: From Cerebellar Physiology to Cerebellar Disorders.

H Mitoma, A Buffo, F Gelfo, X Guell, E Fucà, S Kakei, J Lee, M Manto, L Petrosini, A G Shaikh, J D Schmahmann,

Cerebellar reserve refers to the capacity of the cerebellum to compensate for tissue damage or loss of function resulting from many different etiologies. When the inciting event produces acute focal damage (e.g., stroke, trauma), impaired cerebellar function may be compensated for by other cerebellar areas or by extracerebellar structures (i.e., ... Read more >>

Cerebellum (Cerebellum (London, England))
[2020, 19(1):131-153]

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Conjugate Eye Deviation in Unilateral Lateral Medullary Infarction.

Julian Teufel, Michael Strupp, Jennifer Linn, Roger Kalla, Katharina Feil,

BACKGROUND AND PURPOSE:The initial diagnosis of medullary infarction can be challenging since CT and even MRI results in the very acute phase are often negative. METHODS:A retrospective, observer-blinded study of horizontal conjugate eye deviation was performed in 1) 50 consecutive patients [age 58±15 years (mean±SD), 74% male, National Institutes of ... Read more >>

J Clin Neurol (Journal of clinical neurology (Seoul, Korea))
[2019, 15(2):228-234]

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Management of Childhood Headache in the Emergency Department. Review of the Literature.

Umberto Raucci, Nicoletta Della Vecchia, Chiara Ossella, Maria Chiara Paolino, Maria Pia Villa, Antonino Reale, Pasquale Parisi,

Headache is the third cause of visits to pediatric emergency departments (ED). According to a systematic review, headaches in children evaluated in the ED are primarily due to benign conditions that tend to be self-limiting or resolve with appropriate pharmacological treatment. The more frequent causes of non-traumatic headache in the ... Read more >>

Front Neurol (Frontiers in neurology)
[2019, 10:886]

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Reduced cortical folding in multi-modal vestibular regions in persistent postural perceptual dizziness.

Salvatore Nigro, Iole Indovina, Roberta Riccelli, Giuseppe Chiarella, Claudio Petrolo, Francesco Lacquaniti, Jeffrey P Staab, Luca Passamonti,

Persistent postural perceptual dizziness (PPPD) is a common functional vestibular disorder that is triggered and sustained by a complex interaction between physiological and psychological factors affecting spatial orientation and postural control. Past functional neuroimaging research and one recent structural (i.e., voxel-based morphometry-VBM) study have identified alterations in vestibular, visuo-spatial, and ... Read more >>

Brain Imaging Behav (Brain imaging and behavior)
[2019, 13(3):798-809]

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Anti-Yo antibody-mediated paraneoplastic cerebellar degeneration associated with cognitive affective syndrome in a patient with breast cancer: a case report and literature review.

M Le May, S Dent,

Breast cancer is the most common cancer in women, with 15%-25% of those tumours overexpressing the human epidermal growth factor receptor 2 (her2), which is associated with more aggressive disease. On rare occasions, patients present with a paraneoplastic syndrome months to years before their cancer diagnosis. Paraneoplastic cerebellar degeneration (pcd) ... Read more >>

Curr Oncol (Current oncology (Toronto, Ont.))
[2018, 25(6):e585-e591]

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Central Nervous System Vasculitis for Cryptococcosis in an Immunocompetent Patient.

Dan Zimelewicz Oberman, Liliana Patrucco, Carolina Cuello Oderiz,

Cryptococcal meningitis is a life-threatening condition caused by a fungal pathogen, Cryptococcus neoformans, that can infect both immunosuppressed and immunocompetent hosts. It is an important cause of morbidity and mortality in severely immunodeficient patients. However, in an immunocompetent patient it represents a diagnostic challenge, mainly because it is extremely rare, ... Read more >>

Diseases (Diseases (Basel, Switzerland))
[2018, 6(3):]

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Vestibular dysfunction: a frequent problem for adults with mitochondrial disease.

Sarah Holmes, Amanda J Male, Gita Ramdharry, Cathy Woodward, Natalie James, Iwona Skorupinska, Mariola Skorupinska, Louise Germain, Damian Kozyra, Enrico Bugiardini, Olivia V Poole, Ros Quinlivan, Michael G Hanna, Diego Kaski, Robert D S Pitceathly,

J. Neurol. Neurosurg. Psychiatry (Journal of neurology, neurosurgery, and psychiatry)
[2019, 90(7):838-841]

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Benign paroxysmal positional vertigo in spontaneous intracranial hypotension.

Ping Xia, Si-Ran Zhang, Zhi-Jie Zhou, Yu-Quan Shao, Xing-Yue Hu,

OBJECTIVES:To assess the prevalence and related factors of benign paroxysmal positional vertigo (BPPV) in patients with spontaneous intracranial hypotension (SIH). METHODS:We retrospectively reviewed 156 consecutive inpatients with SIH, and collected the clinical and radiological data. These patients were divided into BPPV group and non-BPPV group according to the clinical manifestation ... Read more >>

Neurol. Res. (Neurological research)
[2018, 40(10):868-873]

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Horizontal Direction-Changing Positional Nystagmus and Vertigo: A Case of Vestibular Migraine Masquerading as Horizontal Canal BPPV.

Shin C Beh,

Episodic positional vertigo is typically due to benign paroxysmal positional vertigo (BPPV) but may also be a manifestation of vestibular migraine. Distinguishing vestibular migraine from BPPV is essential since the treatment of each disorder is markedly different. The 31-month clinical course of a 41-year-old woman with vestibular migraine causing recurrent ... Read more >>

Headache (Headache)
[2018, 58(7):1113-1117]

Cited: 2 times

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Update on Vertigo in Autoimmune Disorders, from Diagnosis to Treatment.

Laura Girasoli, Diego Cazzador, Roberto Padoan, Ennio Nardello, Mara Felicetti, Elisabetta Zanoletti, Franco Schiavon, Roberto Bovo,

The prevalence of autoimmune diseases has been increasing over the last 20 years. The clinical presentation of this large and heterogeneous group of disorders depends on whether the involvement is organ-specific or non-organ-specific. Dizziness, vertigo, and disequilibrium are common symptoms reported by patients with vestibulocochlear involvement. The association of vertigo ... Read more >>

J Immunol Res (Journal of immunology research)
[2018, 2018:5072582]

Cited: 1 time

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A Novel PKD1 Mutation Associated With Autosomal Dominant Kidney Disease and Cerebral Cavernous Malformation.

Christian Thomas, Andrea Zühlsdorf, Konstanze Hörtnagel, Lejla Mulahasanovic, Oliver M Grauer, Philipp Kümpers, Heinz Wiendl, Sven G Meuth,

Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder characterized by the presence of renal cysts and specific extrarenal abnormalities. ADPKD is caused by mutations in either PKD1 or PKD2 genes that encode for integral membrane proteins Polycystin-1 (PC1) and Polycystin-2 (PC2), respectively. Extrarenal involvement includes noncystic manifestations such ... Read more >>

Front Neurol (Frontiers in Neurology)
[2018, 9:383]

Cited: 1 time

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