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뇌줄기 뇌졸중으로 인한 어지럼증

Vascular Origin of Central Vertigo: Brainstem

Research in Vestibular Science 2021년 20권 1호 p.1 ~ 6
이선욱,
소속 상세정보
이선욱 ( Lee Sun-Uk ) - Korea University Medical Center Department of Neurology

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.

키워드

Nystagmus; Central vertigo; Brainstem

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