Review
Clinical Neurology
Pasquale Viola, Federico Maria Gioacchini, Alessia Astorina, Davide Pisani, Alfonso Scarpa, Gianmarco Marciano, Alessandro Casarella, Emanuele Basile, Vincenzo Rania, Massimo Re, Giuseppe Chiarella
Summary: Acute vestibular syndrome is a clinical condition that requires urgent management, as the symptoms can be influenced by therapeutic choices and intervention timing. This necessitates differential diagnosis and treatment choices, often outside the specialist field.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
B. Nham, G. Akdal, A. S. Young, P. Ozcelik, T. Tanriverdizade, R. T. Ala, A. P. Bradshaw, C. Wang, S. Men, B. F. Giarola, D. A. Black, E. O. Thompson, G. M. Halmagyi, M. S. Welgampola
Summary: This study aims to compare the characteristics of acute nystagmus in posterior circulation stroke (PCS) and acute vestibular neuritis (AVN) in the emergency room (ER). The study found that nystagmus is often absent in PCS and always present in AVN. Additionally, unidirectional "peripheral-appearing" horizontal nystagmus can be seen in PCS.
JOURNAL OF NEUROLOGY
(2023)
Article
Clinical Neurology
Wanting Wang, Jianling Ji, Chen Wang, Yujie Wang
Summary: This study investigates the topography and etiologies of acute cerebellar infarcts (ACIs) that present as isolated acute vestibular syndromes (AVSs). The study found that ACI can be presented as isolated AVS, and it occurs more frequently in patients with small hemisphere infarct or infarct in the territory supplied by the posterior inferior cerebellar artery.
NEUROLOGICAL SCIENCES
(2022)
Article
Clinical Neurology
Benjamin Nham, Chao Wang, Nicole Reid, Zeljka Calic, Belinda Y. C. Kwok, Deborah A. A. Black, Andrew Bradshaw, GMichael Halmagyi, Miriam S. S. Welgampola
Summary: Quantitative vestibular tests were used to differentiate posterior-circulation stroke (PCS) from vestibular neuritis (VN). By conducting various tests such as video-nystagmography, three-dimensional video head-impulse testing, vestibular-evoked myogenic potentials, and subjective visual-horizontal test, indicators that can distinguish between the two diseases were identified, which could improve diagnostic accuracy in the emergency room.
JOURNAL OF NEUROLOGY
(2023)
Article
Clinical Neurology
Mohammad Mahmud, Abdel Rahman Saad, Zaeem Hadi, Jordan Elliot, Mabel Prendergast, Joseph Kwan, Barry Seemungal
Summary: This study found a high prevalence of stroke among patients with acute vestibular syndrome, but due to delays in diagnosis, none of the vestibular stroke cases received timely treatment.
JOURNAL OF THE NEUROLOGICAL SCIENCES
(2022)
Review
Otorhinolaryngology
Kai-Jing Leong, Timothy Lau, Vicky Stewart, Elisa F. D. Canetti
Summary: This study aimed to investigate the efficacy of corticosteroids in treating acute vestibular neuritis in adults. Eight studies were reviewed, with six included in the meta-analysis. The results showed no significant differences in complete recovery rates between corticosteroid and placebo groups at 1, 6, and 12 months. While there was better caloric recovery in the corticosteroid group at 1 month, overall effects did not differ across 12 months. Subjective recovery also did not vary between groups. Five studies reported adverse effects from corticosteroids, leading to the conclusion that there is insufficient evidence to support their use in managing acute vestibular neuritis.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2021)
Article
Clinical Neurology
Yuk Man Chan, Yean Wong, Noorulain Khalid, Stephen Wastling, Andreas Flores-Martin, Lucy-Anne Frank, Nehzat Koohi, Qadeer Arshad, Indran Davagnanam, Diego Kaski
Summary: The prevalence of vertigo in acute cortical strokes was found to be 9%, with no single locus of lesion overlap. There is growing evidence supporting a lateralized vestibular cortex, with speculation that cortical strokes affecting the right hemisphere are more likely to cause vestibular symptoms than left hemispheric strokes.
EUROPEAN JOURNAL OF NEUROLOGY
(2021)
Article
Clinical Neurology
Barbara Voetsch, Siddharth Sehgal
Summary: Dizziness, vertigo, and disequilibrium are common symptoms in patients seeking medical evaluation, with both benign and potentially life-threatening causes. The challenge lies in distinguishing between the different etiologies and providing appropriate treatment.
NEUROLOGIC CLINICS
(2021)
Article
Clinical Neurology
Huiyuan Wang, Tianming Shi, Yafei Shang, Xinyi Chen, Jie Xu, Yu Geng
Summary: We report on a patient with Spiller syndrome, a rare subtype of medial medullary infarction (MMI), who presented with the initial features of acute peripheral vestibulopathy and MMI. Our study underscores the importance of considering the possibility of a nucleus prepositus hypoglossi lesion in patients with acute vestibular syndrome.
FRONTIERS IN NEUROLOGY
(2023)
Article
Neurosciences
Qingxiu Yao, Zhuangzhuang Li, Maoxiang Xu, Yumeng Jiang, Jingjing Wang, Hui Wang, Dongzhen Yu, Shankai Yin
Summary: This study investigates the composition of vestibular disorders presenting with the acute vestibular syndrome (AVS). The results provide valuable insights for the classification and diagnosis of these disorders.
FRONTIERS IN NEUROSCIENCE
(2022)
Article
Clinical Neurology
Filipp M. Filippopulos, Ralf Strobl, Bozidar Belanovic, Konstanze Dunker, Eva Grill, Thomas Brandt, Andreas Zwergal, Doreen Huppert
Summary: This study developed and validated a three-level algorithm to identify patients with cerebrovascular events (CVEs) and classify the most common vestibular disorders. The algorithm demonstrated high accuracy in correctly categorizing vestibular disorders and is easily applicable in various clinical settings.
EUROPEAN JOURNAL OF NEUROLOGY
(2022)
Article
Clinical Neurology
Miranda Morrison, Athanasia Korda, Ewa Zamaro, Franca Wagner, Marco D. Caversaccio, Thomas C. Sauter, Roger Kalla, Georgios Mantokoudis
Summary: The study aimed to compare the diagnostic accuracy of Caloric Testing and video head impulse test (vHIT) in differentiating between vestibular neuritis and vestibular strokes in acute dizziness. The results showed that Caloric Testing was less accurate than vHIT in discriminating between the two conditions.
JOURNAL OF NEUROLOGY
(2022)
Review
Clinical Neurology
Joao Lemos, Mario Manto
Summary: Significant therapeutic advances have been made in the treatment of episodic and progressive cerebellar ataxias, downbeat nystagmus, and some vestibular disorders. Recent research findings have highlighted the positive effects of certain medications and treatments on symptom improvement and quality of life in patients.
CURRENT OPINION IN NEUROLOGY
(2022)
Article
Medicine, General & Internal
Timo Siepmann, Cosima Gruener, Erik Simon, Annahita Sedghi, Hagen H. Kitzler, Lars-Peder Pallesen, Jessica Barlinn, Heinz Reichmann, Volker Puetz, Kristian Barlinn
Summary: The study evaluated the use of V-HIT-assisted HINTS for detecting stroke underlying acute vertigo, showing higher accuracy compared to conventional HINTS and indicating the diagnostic value of integrated acute caloric testing.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Sun-Uk Lee, Hyo-Jung Kim, Jeong-Yoon Choi, Byung-Jo Kim, Ji-Soo Kim
Summary: Right-beating horizontal nystagmus is usually associated with clockwise torsional nystagmus. This study aimed to determine the etiologies and mechanisms of discordant horizontal-torsional nystagmus. The findings suggest that selective damage may be responsible for the discordant nystagmus.
JOURNAL OF NEUROLOGY
(2022)