Cerebral infarction menifested as isolated acute vestibular syndrome: a clinical analysis of 15 cases
10.3760/cma.j.issn.1671-8925.2018.01.006
- VernacularTitle:表现为孤立性急性前庭综合征的脑梗死的临床分析(附15例报道)
- Author:
Yan LIU
1
;
Xinyun LYU
;
Shuo CHEN
;
Xingqiu CAI
;
Ge LI
;
Yanrong FENG
;
Bo QIAN
Author Information
1. 东南大学医学院附属南京同仁医院神经内科
- Keywords:
Acute vestibular syndrome;
Cerebral infarction;
Clinical analysis
- From:
Chinese Journal of Neuromedicine
2018;17(1):34-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features,risk factors,imaging features and prognoses of cerebral infarction menifested as isolated acute vestibular syndrome (AVS) to improve the diagnoses and treatments of the disease.Methods Clinical data of 15 cerebral infarction patients menifested as isolated AVS,admitted to our hospital from October 2015 to April 2016,were summarized retrospectively.The clinical features,risk factors,imaging features and prognoses of these patients were analyzed.Results (1) Clinical characteristics:the average age of cerebral infarction patients menifested as isolated AVS was 62.1 ±13.5 years old,and the median attack time was 24 (4-168) h;the main clinical manifestations were vertigo,including nausea (n=1 1),vomiting (n=10),nystagmus (n=10),and unstable gait (n=14).(2) Risk factors:14 patients had multiple risk factors of stroke (＞4),and they were age,hypertension,hypedipidemia,diabetes,smoking,carotid stenosis,history of stroke,white matter degeneration,coronary heart disease,and atrial fibrillation.(3) Imaging features:14 patients were posterior circulation infarction,and the lesions were located in the cerebellar hemisphere (n=l 1),cauda cerebelli (n=4),pons (n=3),brachium pontis (n=1),brachium inferius cerebelli (n=1);inferior colliculus (n=1),and multiple lesions occurred in 6 patients;one anterior circulation infarction was located in the insula;most lesions were smaller lacunar infarcts,but the lower part of cerebellar hemisphere was mostly larger infarct.(4) Prognoses:the prognosis of patients is good after regular treatment,9 had complete symptom relief,and 6 got improvement.Conclusions When patients presented with isolated AVS and many risk factors exist in clinic,the possibility of cerebral infarction should be taken into account.Such patients should be subjected to relevant examinations in a timely manner and early diagnosis,so that they can get regular treatment as soon as possible and prognoses can be improved.
