Journal article

Rotational vertebral artery occlusion syndrome with vertigo due to "labyrinthine excitation"

Strupp M, Planck J, Arbusow V, Steiger H, Bruckmann H, Brandt T ...see all

Neurology, vol. 54, issue 6 (2000) pp. 1376-1379

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Leftward head rotations in a patient with a rotational vertebral artery occlusion syndrome elicited recurrent uniform attacks of severe rotatory vertigo and tinnitus in the right ear. These attacks were accompanied by a mixed clockwise torsional downbeat nystagmus with a horizontal component toward the right. A transient ischemia of the right labyrinth probably induced the attacks and led to a combined transient excitation of the right anterior and horizontal semicircular canals as well as the cochlea.

Author-supplied keywords

  • Angiography, Digital Subtraction
  • Humans
  • Labyrinth Diseases/*complications
  • Male
  • Middle Aged
  • Syndrome
  • Vertebral Artery/*physiopathology/radiography
  • Vertebrobasilar Insufficiency/*etiology/physiopath
  • Vertigo/*etiology

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  • M Strupp

  • J H Planck

  • V Arbusow

  • H J Steiger

  • H Bruckmann

  • T Brandt

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