Skip to main content
Log in

Central paroxysmal positional nystagmus mimicking posterior canal benign paroxysmal positional vertigo in pontine infarction: a case report and literature review

  • Letter to the Editors
  • Published:
Journal of Neurology Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Data availablity

All data generated or analysed during this study are included in this published article and its supplementary information files.

References

  1. Kim HA, Lee H (2010) Isolated vestibular nucleus infarction mimicking acute peripheral vestibulopathy. Stroke 41:1558–1560

    Article  PubMed  Google Scholar 

  2. Kim HJ, Lee SH, Park JH, Choi JY, Kim JS (2014) Isolated vestibular nuclear infarction: report of two cases and review of the literature. J Neurol 261:121–129

    Article  PubMed  Google Scholar 

  3. Strupp M, Bisdorff A, Furman J, Hornibrook J, Jahn K, Maire R, Newman-Toker D, Magnusson M (2022) Acute unilateral vestibulopathy/vestibular neuritis: Diagnostic criteria. J Vestib Res 32:389–406

    Article  PubMed  PubMed Central  Google Scholar 

  4. Kattah JC (2018) Use of HINTS in the acute vestibular syndrome. An overview. Stroke Vasc Neurol 3:190–196

    Article  PubMed  PubMed Central  Google Scholar 

  5. Chang TP, Wu YC (2010) A tiny infarct on the dorsolateral pons mimicking vestibular neuritis. Laryngoscope 120:2336–2338

    Article  PubMed  Google Scholar 

  6. Choi JH, Seo JD, Choi YR, Kim MJ, Kim HJ, Kim JS, Choi KD (2015) Inferior cerebellar peduncular lesion causes a distinct vestibular syndrome. Eur J Neurol 22:1062–1067

    Article  PubMed  Google Scholar 

  7. Choi JH, Hwang SJ, Seo JD, Choi KD (2013) Pseudo-vestibular neuritis associated with isolated vestibular nucleus infarction. Clin Neuroophthalmol 3:55–57

    Google Scholar 

  8. Lee SU, Kim HJ, Lee ES, Choi JH, Choi JY, Kim JS (2021) Central positional nystagmus in inferior cerebellar peduncle lesions: a case series. J Neurol 268:2851–2857

    Article  PubMed  Google Scholar 

  9. Choi JY, Kim JH, Kim HJ, Glasauer S, Kim JS (2015) Central paroxysmal positional nystagmus: characteristics and possible mechanisms. Neurology 84:2238–2246

    Article  PubMed  Google Scholar 

  10. Uemura T, Cohen B (1973) Effects of vestibular nuclei lesions on vestibulo-ocular reflexes and posture in monkeys. Acta Otolaryngol Suppl 315:1–71

    CAS  PubMed  Google Scholar 

  11. Carpenter MB, Cowie RJ (1985) Connections and oculomotor projections of the superior vestibular nucleus and cell group “y.” Brain Res 336:265–287

    Article  CAS  PubMed  Google Scholar 

  12. Cannon SC, Robinson DA (1987) Loss of the neural integrator of the oculomotor system from brain stem lesions in monkey. J Neurophysiol 57:1383–1409

    Article  CAS  PubMed  Google Scholar 

  13. Voogd J, Wylie DR (2004) Functional and anatomical organization of floccular zones: a preserved feature in vertebrates. J Comp Neurol 470:107–112

    Article  PubMed  Google Scholar 

  14. Bertolini G, Ramat S (2011) Velocity storage in the human vertical rotational vestibulo-ocular reflex. Exp Brain Res 209:51–63

    Article  CAS  PubMed  Google Scholar 

  15. Della Santina CC, Potyagaylo V, Migliaccio AA, Minor LB, Carey JP (2005) Orientation of human semicircular canals measured by three-dimensional multiplanar CT reconstruction. J Assoc Res Otolaryngol 6:191–206

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This research was supported by Chungnam National University Hospital Research Fund (2021-CF-009).

Author information

Authors and Affiliations

Authors

Contributions

Dr. EK analyzed and interpreted the data and wrote the manuscript. Dr. HSJ analyzed and interpreted the data. Dr. HJK analyzed and visualized the data. Dr. JSK interpreted the data and critically revised the manuscript. Dr. SHJ supervised the study and revised the manuscript.

Corresponding author

Correspondence to Seong-Hae Jeong.

Ethics declarations

Conflicts of interest

Dr. Ji-Soo Kim serves as an Associate Editor of Frontiers in Neuro-otology and on the editorial boards of the Journal of Clinical Neurology, Frontiers in Neuro-ophthalmology, Journal of Neuro-ophthalmology, Journal of Vestibular Research, Medicine, and Clinical and Translational Neuroscience. The other author has nothing to disclose.

Ethical standard

This study followed the tenets of the Declaration of Helsinki and was performed according to the guidelines of the Institutional Review Board of Chungnam National University Hospital (2023-09-025).

Supplementary Information

Below is the link to the electronic supplementary material.

Video-oculography shows paroxysmal clockwise (from the patient’s view) torsional and upbeat nystagmus with a latency of several seconds during the right Dix-Hallpike maneuver. The patient raises his hand when he feels dizzy, which is only in the right Dix-Hallpike position (MP4 15210 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kwon, E., Jeong, H.S., Jeong, SH. et al. Central paroxysmal positional nystagmus mimicking posterior canal benign paroxysmal positional vertigo in pontine infarction: a case report and literature review. J Neurol 271, 3672–3677 (2024). https://doi.org/10.1007/s00415-024-12346-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-024-12346-9

Navigation