Cerebellar infarctions and 'vestibular neuritis'

Acta Otolaryngol Suppl. 1993;503:64-6.

Abstract

Consecutive subjects 50 to 75 years of age with sudden onset of vertigo but without cochlear or neurological symptoms were investigated with neuro-imaging techniques. Doppler sonography of the vertebral and carotid arteries and recording of voluntary saccades and pursuit eye movements, caloric, spontaneous, gaze and optokinetic nystagmus. Among those studied, 6 out of 24 subjects could be demonstrated to have cerebellar infarctions, another 2 subjects had occlusion of one vertebral artery. Caloric tests could not identify subjects with a cerebellar infarction whereas prominently reduced pursuit eye movements could. Subjects with cerebellar infarction either had a vertebral artery occlusion or prominent cardio-embolic risk factors. It is suggested that subjects with symptoms as vestibular neuritis should be investigated with pursuit eye movements and with at least standard ECG recordings.

MeSH terms

  • Aged
  • Cerebellum / blood supply*
  • Cerebellum / physiopathology
  • Cerebral Infarction / diagnosis*
  • Cerebral Infarction / physiopathology
  • Dominance, Cerebral / physiology
  • Echoencephalography
  • Electronystagmography
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Meniere Disease / diagnosis*
  • Meniere Disease / physiopathology
  • Middle Aged
  • Neuritis / diagnosis*
  • Neuritis / physiopathology
  • Vertebrobasilar Insufficiency / diagnosis
  • Vertebrobasilar Insufficiency / physiopathology
  • Vestibular Nerve / physiopathology*
  • Vestibulocochlear Nerve Diseases / diagnosis*
  • Vestibulocochlear Nerve Diseases / physiopathology