J Audiol Otol.  2019 Jul;23(3):167-172. 10.7874/jao.2018.00528.

A Case of Isolated Nodular Infarction Mimicking Vestibular Neuritis on the Contralateral Side

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. hoyun1004@gmail.com
  • 2Department of Radiology, Eulji University Medical Center, Eulji University School of Medicine, Daejeon, Korea.

Abstract

Differentiating central vestibulopathy from more common vestibular disorders is crucial because it often necessitates different treatment strategies, and early detection can help to minimize potential complications. Isolated nodular infarct is one of the central brain lesions that can mimic peripheral vertigo. We present a case of isolated nodular infarct that had been misdiagnosed as vestibular neuritis on the contralateral side at the initial evaluation. The patient was successfully treated with anticoagulants and antihyperlipidemic agents. Clinicians should keep in mind that some causes of central vertigo mimic peripheral vestibulopathy at the early stage.

Keyword

Vestibular neuritis; Brain infarction; Magnetic resonance imaging

MeSH Terms

Anticoagulants
Brain
Brain Infarction
Humans
Infarction*
Magnetic Resonance Imaging
Vertigo
Vestibular Neuronitis*
Anticoagulants
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