Res Vestib Sci.  2021 Mar;20(1):1-6. 10.21790/rvs.2021.20.1.1.

Vascular Origin of Central Vertigo: Brainstem

• Lee SU

• KMID: 2513996
• DOI: http://doi.org/10.21790/rvs.2021.20.1.1

Abstract

Various neurotologic findings can be observed in stroke involving the brainstem. Analyses of the neurotologic findings are important in brainstem stroke since it can have negative diffusion-weighted image, as well as, presenting with acute vestibular syndrome in isolation without any associated neurologic deficits. In this review we discuss the neurotologic findings from lesion involving (1) the medial vestibular nucleus, (2) nucleus prepositus hypoglossi, (3) inferior cerebellar peduncle, (4) medial longitudinal fasciculus, (5) rostral interstitial nucleus of the medial longitudinal fasciculus, (6) interstitial nucleus of Cajal, and (7) middle and (8) superior cerebellar peduncles. It is important to recognize these specific neurotologic findings depending on the neural structures involved that may guide early detection and proper management.

Keyword

Nystagmus; Central vertigo; Brainstem