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

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Abstract

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.

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Strupp, M., Planck, J. H., Arbusow, V., Steiger, H. J., Brückmann, H., & Brandt, T. (2000). Rotational vertebral artery occlusion syndrome with vertigo due to “labyrinthine excitation.” Neurology, 54(6), 1376–1379. https://doi.org/10.1212/WNL.54.6.1376

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