A Case of Atypical Isolated Nodular Infarction: Nystagmus with a Reverse Direction.
- Author:
Kang Min PARK
1
;
Kyong Jin SHIN
;
Sam Yeol HA
;
Jin Se PARK
;
Sung Eun KIM
Author Information
1. Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. epidoc@inje.ac.kr
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Nodulus;
Vestibular neuritis
- MeSH:
Cerebral Infarction;
Gait Disorders, Neurologic;
Head;
Infarction;
Magnetic Resonance Imaging;
Neurologic Examination;
Vertigo;
Vestibular Neuronitis;
Walking
- From:Korean Journal of Stroke
2012;14(3):163-165
- CountryRepublic of Korea
- Language:English
-
Abstract:
A cerebral infarction involving the nodulus usually produce contralateral lateropulsion and ipsilateral spontaneous nystagmus to the lesion. Here, we report a case of atypical isolated nodular infarction showed ipsilateral lateropulsion and contralateral spontaneous nystagmus to the lesion with a normal head impulse test. A right-handed 70-year-old man developed sudden vertigo with an unsteady gait. Neurologic examination revealed spontaneous left-beating nystagmus with a torsional component. He also displayed imbalance of walking and axial lateropulsion to the right side. Head impulse test was normal. Magnetic resonance imaging indicated acute infarction in the right nodulus on diffusion-weighted images.
