Acute thrombosis of the carotid artery associated with positional nystagmus at multiple planes

作     者：Sertac Yetiser Yasar Kutukcu Kutlay Kahraman 

作者机构：Anadolu Medical CenterDept of ORL&HNSKocaeli41400Turkey Anadolu Medical CenterDept of NeurologyKocaeli41400Turkey Anadolu Medical CenterDept of RadiologyKocaeli41400Turkey 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2019年第14卷第4期

页      面：158-161页

核心收录：

学科分类：1003[医学-口腔医学] 1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Upbeat nystagmus Positional maneuver Carotid artery occlusion 

摘      要：Objective:An acute onset central pathology without any clear neurological symptoms may mimic peripheral vestibular problem in an emergency setting.A 54-year-old man suddenly developed dizziness without any cranial nerve symptoms,paresis,cerebellar signs or sensory disturbances except upbeat positional nystagmus at multiple provoked positions which alerted for a possible acute central ***:An instantaneous magnetic resonance imaging and angiography studies further showed obstruction of the left internal carotid artery above the *** patient’s subsequent prognosis was consistent with good recovery following anti-coagulant therapy.A follow-up MRI and angiography showed resolution of ***:It should be kept in mind that positional nystagmus is likely to occur in central *** between benign paroxysmal positional vertigo and central positioning nystagmus is critical.