Abstract
Stroke is one of the most common neurological diagnoses, presenting with a wide range of conditions including weakness, sensory impairment, gait disturbance, confusion, and ataxia. Initial workup should include a detailed history and physical examination as well as head imaging. Early imaging with computed tomography may present a false negative, so other diagnostic testing like magnetic resonance imaging and angiography may be required. In this case, a 50-year-old male patient with a history of smoking and alcohol use was admitted to the emergency department with recurring episodes of gait imbalance, nausea, blurred vision, and tinnitus and was initially misdiagnosed with benign positional paroxysmal vertigo. Unfortunately, as time passed, his condition worsened with diplopia and dysgraphia. Through the use of interventional angiography, a thromboembolic event was detected in the bilateral vertebral arteries, and appropriate stroke care could be provided.
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Baratta, J.M. (2023). Stroke Misdiagnosed as Benign Positional Paroxysmal Vertigo. In: Tohid, H., Baratta, L.G., Maibach, H. (eds) The Misdiagnosis Casebook in Clinical Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-28296-6_54
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DOI: https://doi.org/10.1007/978-3-031-28296-6_54
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