Korean J Clin Neurophysiol.  2014 Jun;16(1):32-34. 10.14253/kjcn.2014.16.1.32.

Rotational Vertigo and Unsteady Gait Associated with Vestibular Cortical Infarction

• Park KM
• Kim SE
• Shin KJ
• Park JS
• Kim SE
• Kim HC
• Ha SY

• KMID: 1708889
• DOI: http://doi.org/10.14253/kjcn.2014.16.1.32

Abstract

A 77-year-old man developed acute vertigo and unsteady gait. Neurological examination revealed spontaneous left-beating nystagmus in the primary position. He fell to the left when walking without support. Magnetic resonance imaging showed an acute infarction involving the right parieto-temporal lobe. Although the vertigo and unsteady gait are most often associated with vestibular disorders involving the infratentorial structures, those may occur in cerebral infarction of the parieto-temporal lobe.

Keyword

Vertigo; Stroke; Cortex

MeSH Terms

Aged
Cerebral Infarction
Gait Disorders, Neurologic*
Humans
Infarction*
Magnetic Resonance Imaging
Neurologic Examination
Stroke
Vertigo*
Walking

Figure

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  Figure 1. Diffusion-weighted magnetic resonance images indicate an acute infarction of the right parieto-temporal lobe.

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  Figure 2. Video-based oculography shows a left-beating horizontal nystagmus in the primary position with a 1-2 Hz frequency, a mean slow-phase velocity of 3o/s, and an amplitude 3-5o (horizontal recording).

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