Subjective Visual Vertical and Horizontal Abnormalities in a Patient with Lateral Medullary Syndrome-A Case Report

Publish Year: 1394
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJOTO-27-1_010

تاریخ نمایه سازی: 11 بهمن 1400

Abstract:

Introduction: Evaluation of persistent vertigo in post infarct patients is very important as the management depends on whether the cause is purely of central origin or due to associated vestibular affliction.   Case Report: A patient with left sided dorsolateral medullary syndrome and persistent vestibular symptoms was evaluated. Vestibular test battery showed abnormal smooth pursuit, bilateral hyperactive caloric responses, and abnormal dynamic subjective visual vertical and dynamic subjective visual horizontal tests.   Conclusion:  Dorsolateral medullary infarctions (Wallenberg’s syndrome) typically cause a central vestibular tonus imbalance in the roll plane with ipsilateral deviations of perceived vertical orientation. The SVV and SVH tests may have a role in localizing the pathology in a patient with lateral medullary syndrome.

Authors

Amit Tyagi

AVC Department, Christian Medical College,Vellore,India.

Gaurav Ashish

AVC Department, Christian Medical College,Vellore,India.

Anjali Lepcha

AVC Department, Christian Medical College,Vellore,India.

Achamma Balraj

AVC Department, Christian Medical College,Vellore,India.

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