Two Young Cases of Wallenberg Syndrome with Vertigo as Initial Symptom.
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- Shimada Aki
- Department of Otolaryngology, Kagawa Children's Hospital
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- Sekine Kazunori
- Department of Otolaryngology, Yashima General Hospital
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- Sato Go
- Department of Otolaryngology, University of Tokushima School of Medicine
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- Takeda Noriaki
- Department of Otolaryngology, University of Tokushima School of Medicine
Bibliographic Information
- Other Title
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- 回転性めまいで発症した若年性Ｗａｌｌｅｎｂｅｒｇ ｓｙｎｄｒｏｍｅの２症例
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Abstract
We report two young patients of Wallenberg syndrome who presented with acute vertigo as the initial symptom. Neither Case 1, an 8-year-old girl, nor Case 2, a 29-year-old man, showed any abnormal findings on the initial magnetic resonance imaging (MRI) on day 1. In addition to nystagmus, several neurological signs became positive during the clinical course. Finally, the diagnosis of Wallenberg syndrome was made in both cases based on the detection of a lateral medullary infarction in a follow-up MRI conducted on day 4. Stroke should be considered in the differential diagnosis of acute vertigo, even in young patients without risk factors for cerebrovascular disorders, such as hypertension, diabetes and/or hyperlipidemia. Since MRI may show no abnormalities in the very early stages of stroke, neurological examinations are useful to establish the diagnosis in cases presenting with vertigo induced by brain stem or cerebellar infarction.
Journal
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- Equilibrium Research
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Equilibrium Research 67 (2), 115-120, 2008
Japan Society for Equilibrium Research
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Keywords
Details 詳細情報について
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- CRID
- 1390001204950116224
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- NII Article ID
- 10026087260
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- NII Book ID
- AN00001485
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- ISSN
- 1882577X
- 03855716
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed