Rotational Vertigo and Unsteady Gait Associated with Vestibular Cortical Infarction

다국어 초록 (Multilingual Abstract)

A 77-year-old man developed acute vertigo and unsteady gait. Neurological examination revealed spontaneousleft-beating nystagmus in the primary position. He fell to the left when walking without support. Magnetic resonanceimaging showed an acute infarction involving the right parieto-temporal lobe. Although the vertigo and unsteady gaitare most often associated with vestibular disorders involving the infratentorial structures, those may occur in cerebralinfarction of the parieto-temporal lobe. (Korean J Clin Neurophysiol 2014;16:32-34)

참고문헌 (Reference)

1 Naganuma M, "otational vertigo associated with parietal cortical infarction" 246 : 159-161, 2006

2 Brandt T, "Rotational vertigo in embolic stroke of the vestibular and auditory cortices" 45 : 42-44, 1995

3 Choi SY, "Pursuit-paretic and epileptic nystagmus in MELAS" 32 : 135-138, 2012

4 Ahn BY, "Pseudovestibular neuritis associated with isolated insular stroke" 257 : 1570-1572, 2010

5 zu Eulenburg P, "Meta-analytical definition and functional connectivity of the human vestibular cortex" 60 : 162-169, 2012

6 Haines DE, "Fundamental neuroscience for basic and clinical applications" Elsevier/Saunders 218-385, 2013

7 Dursteler MR, "Directional pursuit deficits following lesions of the foveal representation within the superior temporal sulcus of the macaque monkey" 57 : 1262-1287, 1987