Diayanti Tenti Lestari, - and Hanik Badriyah Hidayati, - (2021) Acute Vestibular Syndrome in Cerebellar Infarction: A Case Report. International Journal of Research and Review, 8 (9). pp. 29-35. ISSN 2454-2237

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Abstract

Introduction: Acute vestibular syndrome (AVS) is characterized by rapid onset of vertigo, nausea and vomiting, and gait unsteadiness in association with head motion intolerance and nystagmus, lasting days to weeks. Although the majority of AVS patients have acute peripheral vestibulopathy, some may also have brainstem or cerebellar strokes. Cerebellar infarctions sometimes only cause vertigo. The Head Impulse Test, skew deviation, and nystagmus testing provide for great sensitivity and specificity in distinguishing between peripheral vestibular impairment and stroke. Case: A 41-year-old male patient suffered from acute-onset vertigo and dizziness about 5 hours before admission, which started when he started doing his morning routine. Patients also feel gait unsteadiness and almost fall to the left side. There was no weakness in extremities, skew face or slurred speech. Patient's neurological status showed the cerebellar examination was positive left dysmetria, left dysdiadochokinesia, the Romberg test open eye fell to the left, normal Head Impulse Test (HIT), with horizontal bidirectional nystagmus and negative skew deviation test. Cerebellum infarction was discovered using computed tomography imaging. After passing through the acute stroke period, patients are offered symptomatic therapy in the form of betahistine, antiplatelet medication, and vestibular rehabilitation planning. On the tenth day after the onset, the patient's symptoms began to improve. Conclusion: Proper diagnosis of acute vestibular syndrome will guide the necessary tests. The HINTS oculomotor test at the bedside can detect acute vestibular stroke.

Item Type:	Article
Uncontrolled Keywords:	acute vestibular syndrome, vertigo, cerebellum, HINTS
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	01. Fakultas Kedokteran > Neurologi (Spesialis)
Creators:	Creators NIM Diayanti Tenti Lestari, - UNSPECIFIED Hanik Badriyah Hidayati, - NIDN0024097808
Depositing User:	arys fk
Date Deposited:	23 Aug 2022 04:20
Last Modified:	23 Aug 2022 04:20
URI:	http://repository.unair.ac.id/id/eprint/117673
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