A minute demyelinating lesion causing acute positional vertigo.

Abstract:

:Clinico-anatomical correlations in multiple sclerosis patients presenting with central positional vertigo are lacking. We report on a patient with acute onset positional vertigo mimicking benign paroxysmal positional vertigo with a single enhancing lesion in the inner part of the superior cerebellar peduncle, disclosed only after thin slice MR-imaging. This location appears to be a common cause of central positional vertigo and should be regarded as characteristic for demyelinating rather than vascular pathology. In cases presenting with positional nystagmus and vertigo without other cerebellar deficits one should look explicitly for signal abnormalities in the inner part of the superior cerebellar peduncle. High spatial resolution-MRI seems to be mandatory for lesion detection.

journal_name

J Neurol Sci

authors

Anagnostou E,Varaki K,Anastasopoulos D

doi

10.1016/j.jns.2007.09.013

subject

Has Abstract

pub_date

2008-03-15 00:00:00

pages

187-9

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(07)00640-5

journal_volume

266

pub_type

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