An Unusual Presentation of Vertigo : Is Head Titubation the Key to Diagnosis?
Joint Authors
Source
International Journal of Otolaryngology
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-02-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
Discuss complex interplay of pathophysiological effects of cerebellar space occupying lesions on the vestibular pathway.
Discuss challenges of diagnosis and referral along with differential and final diagnosis of unusual presentation.
Case Report.
We describe the case of a patient with vertiginous symptoms complicated by neurological features, namely, head titubation and tremor.
The patient also had signs of oscillopsia and possible impairment of the vestibulo-ocular reflex.
The resulting symptom and sign complex made for a difficult diagnosis, as the interplay of the pathophysiology of these signs, were unusual.
Conclusion.
The discussion has revealed that the cerebellar lesions themselves may have simultaneously caused head tremor and an inability for the vestibulo-ocular reflex to compensate, resulting in vertigo.
However, whether the vertigo was a result of an oscillopsia, nystagmus, or central cause, the referral route should initially be via a general physician to rule out such a life threatening cause as a tumour.
American Psychological Association (APA)
Judd, O.& Medcalf, M.. 2009. An Unusual Presentation of Vertigo : Is Head Titubation the Key to Diagnosis?. International Journal of Otolaryngology،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-465571
Modern Language Association (MLA)
Judd, O.& Medcalf, M.. An Unusual Presentation of Vertigo : Is Head Titubation the Key to Diagnosis?. International Journal of Otolaryngology No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-465571
American Medical Association (AMA)
Judd, O.& Medcalf, M.. An Unusual Presentation of Vertigo : Is Head Titubation the Key to Diagnosis?. International Journal of Otolaryngology. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-465571
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465571