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