¾çÃø ÀÚ¿¬Àû ôÃßµ¿¸Æ¹Ú¸®¿¡ ÀÇÇØ ¹ß»ýÇÑ ¹Ý´ëÃø ¹Ý°í¸®°ü¸¶ºñ¸¦ µ¿¹ÝÇÑ °¡¼º ÀüÁ¤½Å°æ¿°
A Case of Pseudo-Vestibular Neuritis with Contralesional Canal Paresis due to Spontaneous Bilateral Vertebral Artery Dissection
´ëÇÑÀ̺ñÀÎÈÄ-µÎ°æºÎ¿Ü°úÇÐȸÁö 2014³â 57±Ç 8È£ p.552 ~ p.555
½É´ëº¸(Shim Dae-Bo) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ¸íÁöº´¿ø À̺ñÀÎÈÄ°úÇб³½Ç
¼Û¹ÌÇö(Song Mee-Hyun) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ¸íÁöº´¿ø À̺ñÀÎÈÄ°úÇб³½Ç
¹Ú°èõ(Park Kye-Chun) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ¸íÁöº´¿ø À̺ñÀÎÈÄ°úÇб³½Ç
¼ÛâÀº(Song Chang-Eun) - °üµ¿´ëÇб³ ÀÇ°ú´ëÇÐ ¸íÁöº´¿ø À̺ñÀÎÈÄ°úÇб³½Ç
Abstract
Pseudo-vestibular neuritis is a central pathology of acute vestibular syndrome, characterized by unidirectional nystagmus mimicking acute peripheral vestibulophaty. We report a 39-year-old female patient who developed cerebellar infarction with isolated vertigo, spontaneous nystagmus, a positive head thrust test, and unilateral canal paresis in the contralesional side. The patient had no vascular risk factors. A diffusion-weighted image of the brain showed infarction of medial branch of posterior inferior and superior cerebellar artery on the left side. A magnetic resonance angiography of neck disclosed a wide range of diffused severe stenosis and narrowing of right and left vertebral arteries, respectively. This case suggests the possibility of vestibular ischemia masking the central pathology in isolated vertigo.
Å°¿öµå
Embolism, Vertebral artery dissection, Vestibular neuritis
KMID :
0361020140570080552
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)