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Diagnosis of Isolated Central Vertigo: Report for a Series Cases.
Risk Manag Healthc Policy
December 2024
Department of Neurology, The First Hospital of Hunan University of Chinese Medicine, Changsha, 410007, People's Republic of China.
Vertigo, including central and peripheral causes, is one of the common symptoms in patients who are admitted to neurological outpatient and emergency rooms. Despite the advancements in imaging techniques in recent years, central vertigo is difficult to identify and is often misdiagnosed in clinical practice. In this study, 4 patients were admitted to the hospital with complaints of dizziness or vertigo.
View Article and Find Full Text PDFTreatment Challenges in Hemifacial Spasm: The Role of Magnetic Resonance Imaging.
World J Plast Surg
January 2024
Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Hemifacial spasm (HFS) is an important condition for plastic surgeons to understand, as it significantly affects patients' quality of life and can complicate aesthetic and reconstructive procedures. Magnetic resonance imaging (MRI) has become vital in diagnosing HFS, assessing neurovascular relationships, and planning treatment. Transverse MRI scans often show an upward displacement of the inferior pons at the facial nerve attachment point, signaling neurovascular compression (NVC) in HFS.
View Article and Find Full Text PDFFrom Dizziness to Dysphagia: A Complex Presentation of Lateral Medullary Syndrome.
Cureus
November 2024
Internal Medicine, AdventHealth New Smyrna Beach, New Smyrna Beach, USA.
Lateral medullary syndrome (LMS), also known as Wallenberg syndrome, is a rare neurological condition most commonly resulting from occlusion of the posterior inferior cerebellar artery (PICA). This syndrome is characterized by a constellation of symptoms including vertigo, ataxia, sensory deficits, and cranial nerve abnormalities, which arise due to infarction of the lateral medulla. We report the case of a 74-year-old female patient with a history of hypertension who presented to the emergency department with acute onset of vertigo and an unsteady gait.
View Article and Find Full Text PDFWallenberg Syndrome Secondary to Vertebrobasilar Aneurysm Associated With Subclavian Steal Syndrome.
Cureus
October 2024
Department of Neuroscience, Instituto Nacional de Cancerología, Mexico City, MEX.
Wallenberg syndrome, also known as lateral medullary syndrome, is a rare condition affecting the vertebrobasilar circulation, causing symptoms such as vertigo, nystagmus, dysarthria, and hemifacial weakness. Typically linked to ischemic strokes, it can also arise from vertebrobasilar aneurysms. In rare cases, subclavian steal syndrome (SSS), involving retrograde flow in the vertebral artery due to subclavian stenosis, complicates the picture, as observed in this case of a 66-year-old woman with both conditions and a vertebrobasilar aneurysm.
View Article and Find Full Text PDFOpalski Syndrome: An Intricate Case of Lateral Medullary Infarction With Unconventional Neurological Features and Diagnostic Challenges.
Cureus
August 2024
Department of Medicine, Pt. Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, IND.
Opalski syndrome is a rare variant of Wallenberg syndrome characterized by ipsilateral hemiparesis. We present a case involving a 50-year-old male who exhibited symptoms of right-sided upper and lower limb weakness, dizziness, and ataxia. T2-weighted magnetic resonance imaging (MRI) identified an infarction in the right lateral medulla.
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