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Journal of Neurology

, Volume 265, Issue 11, pp 2740–2742 | Cite as

Vertigo and impaired pursuit eye movements in a small medial superior temporal infarction

  • Jeong-Min Kim
  • Seog Kyun Mun
  • Il-Han Yoo
  • Christophe Lopez
  • Ji-Soo Kim
Letter to the Editors
  • 54 Downloads

Dear Sirs,

Vertigo may occur in lesions involving the cerebral hemispheric regions such as the insular cortex, retroinsular area and temporo-parietal junction [1]. However, no study has described vertigo and impaired pursuit eye movements as the only findings of supratentorial strokes. We report isolated vertigo and impaired pursuit eye movements to the lesion side in a patient with a small infarction restricted to the deep white matter of left superior temporal gyrus. This report suggests the subcortical location of the fibers to and from the human homologue of parieto-insular vestibular cortex and medial superior temporal (MST) area in monkeys.

A 75-year-old woman reported two episodes of spontaneous vertigo with illusory self-motion lasting several minutes. She denied associated headache, diplopia, dysarthria, visual field defects or limb weakness/sensory disturbance. She had a history of left cerebellar infarction 5 years before, but without neurological sequelae and had been...

Notes

Acknowledgements

This study was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (no. NRF-2016R1D1A1B04935568).

Author contributions

J-MK analyzed and interpreted data and wrote the manuscript. SKM, I-HY and CL analyzed and interpreted data and revised manuscript. J-SK designed and conceptualized the study, interpreted the data, and revised the manuscript.

Compliance with ethical standards

Conflicts of interest

Jeong-Min Kim, Seog Kyun Mun, Il-Han Yoo and Christophe Lopez report no disclosure. Christophe Lopez serves as an associated editor of Frontiers in Integrative Neuroscience and guest editor of Frontiers in Neurology. 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, Journal of Neurology, and Medicine.

Ethical standards

This study was performed in accordance with the guidelines of Institutional Review Board of Chung-Ang University Hospital (C2013110-1070) and ethical standards laid down in the 1964 Declaration of Helsinki.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyChung-Ang University HospitalSeoulRepublic of Korea
  2. 2.Department of OtorhinolaryngologyChung-Ang University HospitalSeoulRepublic of Korea
  3. 3.Centre National de la Recherhe ScientifiqueAix-Marseille Université, LNSCMarseilleFrance
  4. 4.Department of Neurology, Dizziness Center, Clinical Neuroscience CenterSeoul National University College of Medicine, Seoul National University Bundang HospitalSeongnamRepublic of Korea

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