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Vertigo of Vascular Origin: Clinical and Electronystagmographic Features in 84 Cases

Vertigo of Vascular Origin: Clinical and Electronystagmographic Features in 84 Cases Abstract • We reviewed the clinical and electronystagmographic findings of 84 patients who presented to our neuro-otology clinic with vertigo of presumed cerebrovascular origin. There was a surprisingly high incidence of isolated episodes of vertigo (abrupt in onset, lasting minutes). In some patients these episodes preceded other symptoms of vertebrobasilar insufficiency or infarction by months. Peripheral vestibular abnormalities were common on electronystagmographic testing; 42% had unilateral hypoexcitability to caloric stimulation. We conclude that the vestibular labyrinth is selectively vulnerable to ischemia within the vertebrobasilar system. References 1. Williams D, Wilson TG: The diagnosis of the major and minor syndromes of basilar insufficiency . Brain 1962;85:741-774.Crossref 2. Fisher CM: Vertigo in cerebrovascular diseases . Arch Otolaryngol Head Neck Surg 1967;85:529-534.Crossref 3. Troost BT: Dizziness and vertigo in vertebrobasilar disease . Stroke 1980;11:413-415.Crossref 4. Caplan LR: Vertebrobasilar disease , in Barnett HJM, Mohr JP, Stein BM, et al (eds): Stroke: Pathophysiology, Diagnosis and Management . New York, Churchill Livingstone Inc, 1986, vol 1, pp 549-619. 5. Baloh RW, Harker LA: Central vestibular system disorders , in Cummings CW, Fredrickson JM, Harker LA, et al (eds): Otolaryngology: Head and Neck Surgery . St Louis, CV Mosby Co, 1986, pp 3313-3331. 6. Baloh RW, Langhofer L, Honrubia V, et al: On-line analysis of the eye movements using a digital computer . Aviat Space Environ Med 1980;51:563-567. 7. Baloh RW, Honrubia V, Jacobson K: Benign positional vertigo: Clinical and oculographic features in 240 cases . Neurology 1987;37:371-378.Crossref 8. Sills AW, Baloh RW, Honrubia V: Caloric testing: II. Results in normal subjects . Ann Otol Rhinol Laryngol 1977;86( (suppl 43) ):7-23. 9. Spooner JW, Sakala SM, Baloh RW: Effect of aging on eye tracking . Arch Neurol 1980;37:575-576.Crossref 10. Baloh RW: Dizziness, Hearing Loss, and Tinnitus: The Essentials of Neurotology . Philadelphia, FA Davis Co Publishers, 1984, pp 114-158. 11. Fisher CM: Late life migraine accompaniments as a cause of unexplained transient ischemic attacks . Can J Neurol Sci 1980;7:9-17. 12. Mazzoni A: Internal auditory artery supply to the petrous bone . Ann Otol Rhinol Laryngol 1974;81:13-21. 13. Schuknecht H: Cupulolithiasis . Arch Otolaryngol Head Neck Surg 1969;90:765-769.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Vertigo of Vascular Origin: Clinical and Electronystagmographic Features in 84 Cases

Archives of Neurology , Volume 46 (3) – Mar 1, 1989

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520390047014
Publisher site
See Article on Publisher Site

Abstract

Abstract • We reviewed the clinical and electronystagmographic findings of 84 patients who presented to our neuro-otology clinic with vertigo of presumed cerebrovascular origin. There was a surprisingly high incidence of isolated episodes of vertigo (abrupt in onset, lasting minutes). In some patients these episodes preceded other symptoms of vertebrobasilar insufficiency or infarction by months. Peripheral vestibular abnormalities were common on electronystagmographic testing; 42% had unilateral hypoexcitability to caloric stimulation. We conclude that the vestibular labyrinth is selectively vulnerable to ischemia within the vertebrobasilar system. References 1. Williams D, Wilson TG: The diagnosis of the major and minor syndromes of basilar insufficiency . Brain 1962;85:741-774.Crossref 2. Fisher CM: Vertigo in cerebrovascular diseases . Arch Otolaryngol Head Neck Surg 1967;85:529-534.Crossref 3. Troost BT: Dizziness and vertigo in vertebrobasilar disease . Stroke 1980;11:413-415.Crossref 4. Caplan LR: Vertebrobasilar disease , in Barnett HJM, Mohr JP, Stein BM, et al (eds): Stroke: Pathophysiology, Diagnosis and Management . New York, Churchill Livingstone Inc, 1986, vol 1, pp 549-619. 5. Baloh RW, Harker LA: Central vestibular system disorders , in Cummings CW, Fredrickson JM, Harker LA, et al (eds): Otolaryngology: Head and Neck Surgery . St Louis, CV Mosby Co, 1986, pp 3313-3331. 6. Baloh RW, Langhofer L, Honrubia V, et al: On-line analysis of the eye movements using a digital computer . Aviat Space Environ Med 1980;51:563-567. 7. Baloh RW, Honrubia V, Jacobson K: Benign positional vertigo: Clinical and oculographic features in 240 cases . Neurology 1987;37:371-378.Crossref 8. Sills AW, Baloh RW, Honrubia V: Caloric testing: II. Results in normal subjects . Ann Otol Rhinol Laryngol 1977;86( (suppl 43) ):7-23. 9. Spooner JW, Sakala SM, Baloh RW: Effect of aging on eye tracking . Arch Neurol 1980;37:575-576.Crossref 10. Baloh RW: Dizziness, Hearing Loss, and Tinnitus: The Essentials of Neurotology . Philadelphia, FA Davis Co Publishers, 1984, pp 114-158. 11. Fisher CM: Late life migraine accompaniments as a cause of unexplained transient ischemic attacks . Can J Neurol Sci 1980;7:9-17. 12. Mazzoni A: Internal auditory artery supply to the petrous bone . Ann Otol Rhinol Laryngol 1974;81:13-21. 13. Schuknecht H: Cupulolithiasis . Arch Otolaryngol Head Neck Surg 1969;90:765-769.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Mar 1, 1989

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