Rotational Vertigo and Unsteady Gait Associated with Vestibular Cortical Infarction

Kang Min Park; Sung Eun Kim; Kyong Jin Shin; Jin Se Park; Si Eun Kim; Hyung Chan Kim; Sam Yeol Ha

doi:10.14253/kjcn.2014.16.1.32

Journal List > Korean J Clin Neurophysiol > v.16(1) > 1084133

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Park, Kim, Shin, Park, Kim, Kim, and Ha: Rotational Vertigo and Unsteady Gait Associated with Vestibular Cortical Infarction

Case Report

Korean J Community Nutr 2014;16(1):32-34.

Published online: 18 January 2014

DOI: https://doi.org/10.14253/kjcn.2014.16.1.32

Rotational Vertigo and Unsteady Gait Associated with Vestibular Cortical Infarction

Kang Min Park, Sung Eun Kim, Kyong Jin Shin, Jin Se Park, Si Eun Kim, Hyung Chan Kim, Sam Yeol Ha

Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

Address for correspondence; Sam Yeol Ha Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundae-ro, Haeundae-gu, Busan 612-030, Korea Tel: +82-51-797-2080 Fax: +82-51-797-1196 E-mail: samyeolha@gmail.com

Received 14 October 2013 Revised 9 February 2014 Accepted 20 February 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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

Keywords: Vertigo, Stroke, Cortex

REFERENCES

1.Naganuma M., Inatomi Y., Yonehara T., Fujioka S., Hashimoto Y., Hirano T, et al. Rotational vertigo associated with parietal cortical infarction. J NeurolSci. 2006. 246:159–161.

2.Haines DE. Fundamental neuroscience for basic and clinical applications. 4th ed.Philadelphia: Elsevier/Saunders;2013. p. 218–385.

3.Brandt T., Botzel K., Yousry T., Dieterich M., Schulze S. Rotational vertigo in embolic stroke of the vestibular and auditory cortices. Neurology. 1995. 45:42–44.

4.Ahn BY., Bae JW., Kim DH., Choi KD., Kim HJ., Kim EJ. Pseudovestibular neuritis associated with isolated insular stroke. J Neurol. 2010. 257:1570–1572.

5.zu Eulenburg P., Caspers S., Roski C., Eickhoff SB. Meta-analytical definition and functional connectivity of the human vestibular cortex. Neuroimage. 2012. 60:162–169.

6.Dursteler MR., Wurtz RH., Newsome WT. Directional pursuit deficits following lesions of the foveal representation within the superior temporal sulcus of the macaque monkey. J Neurophysiol. 1987. 57:1262–1287.

7.Choi SY., Kim YJ., Oh SW., Jeong SH., Kim JS. Pursuit-paretic and epileptic nystagmus in MELAS. J Neuroophthalmol. 2012. 32:135–138.

Figure 1.

Diffusion-weighted magnetic resonance images indicate an acute infarction of the right parieto-temporal lobe.

Figure 2.

Video-based oculography shows a left-beating horizontal nystagmus in the primary position with a 1-2 Hz frequency, a mean slow-phase velocity of 3^o/s, and an amplitude 3-5^o (horizontal recording).

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