Abstract
The focus of this chapter is to provide a review of the main diagnostic imaging modalities utilized in the examination of peripheral and central acute vestibular syndrome (AVS). Computed tomography (CT) and magnetic resonance imaging (MRI) scan will be the two main modalities discussed. The chapter begins with a discussion of imaging of peripheral vestibulopathy associated with an AVS, followed by imaging of central lesions. The most common cause of a central lesion causing an AVS is by far cerebrovascular; thus, our secondary aim is to review the role of imaging in the evaluation of cerebrovascular lesions (vascular vertigo) associated with an acute AVS.
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References
Adams, R. D. (1943). Occlusion of the anterior inferior cerebellar artery. Archives of Neurology, 43, 765ā770.
Albers, G. W., Caplan, L. R., Easton, J. D., et al. (2002). Transient ischemic attackĀ ā Proposal for a new definition. The New England Journal of Medicine, 347, 1713ā1716.
Alsop, D. C., & Detre, J. A. (1996). Reduced transit-time sensitivity in noninvasive magnetic resonance imaging of human cerebral blood flow. Journal of Cerebral Blood Flow and Metabolism: Official Journal of the International Society of Cerebral Blood Flow and Metabolism, 16, 1236ā1249.
Amarenco, P., & Hauw, J. J. (1990). Cerebellar infarction in the territory of the anterior and inferior cerebellar artery. A clinicopathological study of 20 cases. Brain: A Journal of Neurology, 113(Pt 1), 139ā155.
Amarenco, P., Hauw, J. J., Henin, D., et al. (1989). Cerebellar infarction in the area of the posterior cerebellar artery. [Clinicopathology of 28 cases]. Revue Neurologique, 145, 277ā286.
Amarenco, P., Rosengart, A., DeWitt, L. D., Pessin, M. S., & Caplan, L. R. (1993). Anterior inferior cerebellar artery territory infarcts. Mechanisms and clinical features. Archives of Neurology, 50, 154ā161.
Baier, B., & Dieterich, M. (2011). Incidence and anatomy of gaze-evoked nystagmus in patients with cerebellar lesions. Neurology, 76, 361ā365.
Baier, B., Conrad, J., Zu Eulenburg, P., et al. (2013). Insular strokes cause no vestibular deficits. Stroke: A Journal of Cerebral Circulation, 44, 2604ā2606.
Baloh, R. W., & Halmagyi, G. M. (1996). Disorders of the vestibular system. Oxford University Press.
Bassetti, C., Bogousslavsky, J., Barth, A., & Regli, F. (1996). Isolated infarcts of the pons. Neurology, 46, 165ā175.
Batuecas-CaletrĆo, A., YƔƱez-GonzĆ”lez, R., Sanchez, B. C., et al. (2014). Application of the HINTS protocol. Revista de Neurologia, 59, 349ā353.
Bertholon, P., Michel, D., Convers, P., Antoine, J. C., & Barral, F. G. (1996). Isolated body lateropulsion caused by a lesion of the cerebellar peduncles. Journal of Neurology, Neurosurgery, and Psychiatry, 60, 356ā357.
Biller, J., Yuh, W. T., Mitchell, G. W., Bruno, A., & Adams, H. P., Jr. (1988). Early diagnosis of basilar artery occlusion using magnetic resonance imaging. Stroke: A Journal of Cerebral Circulation, 19, 297ā306.
Bisdorff, A., Von Brevern, M., Lempert, T., & Newman-Toker, D. E. (2009). Classification of vestibular symptoms: Towards an international classification of vestibular disorders. Journal of Vestibular Research: Equilibrium & Orientation, 19, 1ā13.
Brandt, T., & Dieterich, M. (1993). Skew deviation with ocular torsion: A vestibular brainstem sign of topographic diagnostic value. Annals of Neurology, 33, 528ā534.
Brandt, T., Strupp, M., & Dieterich, M. (2014). Towards a concept of disorders of āhigher vestibular functionā. Frontiers in Integrative Neuroscience, 8, 47.
Bronstein, A. M., Rudge, P., Gresty, M. A., Du Boulay, G., & Morris, J. (1990). Abnormalities of horizontal gaze. Clinical, oculographic and magnetic resonance imaging findings. II. Gaze palsy and internuclear ophthalmoplegia. Journal of Neurology, Neurosurgery, and Psychiatry, 53, 200ā207.
Caplan, L. R. (1990). Charles Foix--the first modern stroke neurologist. Stroke: A Journal of Cerebral Circulation, 21, 348ā356.
Caplan, L. R. (2015). Vertebrobasilar ischemia and hemorrhage: Clinical findings. Diagnosis and management of posterior circulation disease. Cambridge: Cambridge University Press.
Caplan, L. R., Pessin, M. S., Scott, R. M., & Yarnell, P. (1986). Poor outcome after lateral medullary infarcts. Neurology, 36, 1510ā1513.
Caplan, L., Chung, C. S., Wityk, R., et al. (2005). New England medical center posterior circulation stroke registry: I. methods, data base, distribution of brain lesions, stroke mechanisms, and outcomes. Journal of Clinical Neurology, 1, 14ā30.
Chalela, J. A., Kidwell, C. S., Nentwich, L. M., et al. (2007). Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: A prospective comparison. Lancet, 369, 293ā298.
Chen, L., Lee, W., Chambers, B. R., & Dewey, H. M. (2011). Diagnostic accuracy of acute vestibular syndrome at the bedside in a stroke unit. Journal of Neurology, 258, 855ā861.
Chen, L., Todd, M., Halmagyi, G. M., & Aw, S. (2014). Head impulse gain and saccade analysis in pontine-cerebellar stroke and vestibular neuritis. Neurology, 83, 1513ā1522.
Choi, K. D., Choi, J. H., Kim, J. S., et al. (2013). Rotational vertebral artery occlusion: Mechanisms and long-term outcome. Stroke: A Journal of Cerebral Circulation, 44, 1817ā1824.
Choi, J.-H., Kim, H.-W., Choi, K.-D., et al. (2014a). Isolated vestibular syndrome in posterior circulation stroke: Frequency and involved structures. Neurology: Clinical Practice, 4, 410ā418.
Choi, J. H. K. H., Dong, K., Kim, M. J., Choi, Y. R., Cho, H. J., Sung, M. S., Kim, H. J., Kim, J. S., & Jung, D. S. (2014b). Isolated vestibular syndrome in posterior circulation stroke. Neurology Clinical Practice, 4, 410ā418.
Choi, J. Y., Kim, J. H., Kim, H. J., Glasauer, S., & Kim, J. S. (2015a). Central paroxysmal positional nystagmus: Characteristics and possible mechanisms. Neurology, 84, 2238ā2246.
Choi, S. Y., Park, J. H., Kim, H. J., & Kim, J. S. (2015b). Vestibulocochlear nerve infarction documented with diffusion-weighted MRI. Journal of Neurology, 262, 1363ā1365.
Choi, J. H., Seo, J. D., Choi, Y. R., et al. (2015c). Inferior cerebellar peduncular lesion causes a distinct vestibular syndrome. European Journal of Neurology, 22, 1062ā1067.
Dieterich, M., & Brandt, T. (1992). Wallenbergās syndrome: Lateropulsion, cyclorotation, and subjective visual vertical in thirty-six patients. Annals of Neurology, 31, 399ā408.
Dieterich, M., Bense, S., Stephan, T., Brandt, T., Schwaiger, M., & Bartenstein, P. (2005). Medial vestibular nucleus lesions in Wallenbergās syndrome cause decreased activity of the contralateral vestibular cortex. Annals of the New York Academy of Sciences, 1039, 368ā383.
Duncan, G. W., Parker, S. W., & Fisher, C. M. (1975). Acute cerebellar infarction in the PICA territory. Archives of Neurology, 32, 364ā368.
El-Badry, M. M., Samy, H., Kabel, A. M., Rafat, F. M., & Sanyelbhaa, H. (2017). Clinical criteria of positional vertical nystagmus in vestibular migraine. Acta Oto-Laryngologica, 137, 720ā722.
Engelter, S. T., Wetzel, S. G., Bonati, L. H., Fluri, F., & Lyrer, P. A. (2008). The clinical significance of diffusion-weighted MR imaging in stroke and TIA patients. Swiss Medical Weekly, 138, 729ā740.
Fisher, C. M. (1965). Lacunes: Small, deep cerebral infarcts. Neurology, 15, 774ā784.
Fisher, C. M. (1967). Some neuro-ophthalmological observations. Journal of Neurology, Neurosurgery, and Psychiatry, 30, 383ā392.
Furman, J. M., & Cass, S. P. (1999). Benign paroxysmal positional vertigo. The New England Journal of Medicine, 341, 1590ā1596.
Grad, A., & Baloh, R. W. (1989). Vertigo of vascular origin. Clinical and electronystagmographic features in 84 cases. Archives of Neurology, 46, 281ā284.
Greco, A., Macri, G. F., Gallo, A., et al. (2014). Is vestibular neuritis an immune related vestibular neuropathy inducing vertigo? Journal of Immunology Research, 2014, 459048.
Halmagyi, G. M. (2017). Brainstem stroke preceded by transient isolated vertigo attacks. Journal of Neurology, 264, 2170ā2172.
Hommel, M., Borgel, F., Gaio, J. M., Lavernhe, G., & Perret, J. (1985). Isolated ipsilateral lateropulsion caused by bulbar hematoma. Revue Neurologique, 141, 53ā54.
Hotson, J. R., & Baloh, R. W. (1998). Acute vestibular syndrome. The New England Journal of Medicine, 339, 680ā685.
Huang, M. H., Huang, C. C., Ryu, S. J., & Chu, N. S. (1993). Sudden bilateral hearing impairment in vertebrobasilar occlusive disease. Stroke: A Journal of Cerebral Circulation, 24, 132ā137.
Huh, Y. E., & Kim, J. S. (2011). Patterns of spontaneous and head-shaking nystagmus in cerebellar infarction: Imaging correlations. Brain: A Journal of Neurology, 134, 3662ā3671.
Ichikawa, H., Kuriki, A., Kinno, R., Katoh, H., Mukai, M., & Kawamura, M. (2012). Occurrence and clinicotopographical correlates of brainstem infarction in patients with diabetes mellitus. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 21, 890ā897.
Jareonsettasin, P., Otero-Millan, J., Ward, B. K., Roberts, D. C., Schubert, M. C., & Zee, D. S. (2016). Multiple time courses of vestibular set-point adaptation revealed by sustained magnetic field stimulation of the labyrinth. Current Biology, 26, 1359ā1366.
Karlberg, M., Annertz, M., & Magnusson, M. (2004). Acute vestibular neuritis visualized by 3-T magnetic resonance imaging with high-dose gadolinium. Archives of OtolaryngologyĀ ā Head & Neck Surgery, 130, 229ā232.
Kase, C. S., Norrving, B., Levine, S. R., et al. (1993). Cerebellar infarction. Clinical and anatomic observations in 66 cases. Stroke: A Journal of Cerebral Circulation, 24, 76ā83.
Kattah, J. C., & Pula, J. (2015). New windows into the brain: Technological advances in forntline neurologic diagnosis via the visual and oculomotor systems. Future Neurology, 10, 301ā303.
Kattah, J. C., Talkad, A. V., Wang, D. Z., Hsieh, Y. H., & Newman-Toker, D. E. (2009). HINTS to diagnose stroke in the acute vestibular syndrome: Three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke: A Journal of Cerebral Circulation, 40, 3504ā3510.
Kattah, J. C., Pula, J., & Newman-Toker, D. E. (2011). Ocular lateropulsion as a central oculomotor sign in acute vestibular syndrome is not posturally dependent. Annals of the New York Academy of Sciences, 1233, 249ā255.
Kattah, J. C., Nair, D., Talkad, A., Wang, D. Z., & Fraser, K. (2013). A case of vestibular and oculomotor pathology from bilateral AICA watershed infarcts treated with basilar artery stenting. Clinical Neurology and Neurosurgery, 115, 1098ā1101.
Kattah, J. C., Saber Tehrani, A. S., Roeber, S., et al. (2017). Transient Vestibulopathy in Wallenbergās syndrome: Pathologic analysis. Frontiers in Neurology, 8, 191.
Keane, J. R. (1975). Ocular skew deviation. Analysis of 100 cases. Archives of Neurology, 32, 185ā190.
Kerber, K. A., Burke, J. F., Brown, D. L., et al. (2012). Does intracerebral haemorrhage mimic benign dizziness presentations? A population based study. Emergency Medicine Journal: EMJ, 29, 43ā46.
Kerber, K. A., Zahuranec, D. B., Brown, D. L., et al. (2014). Stroke risk after nonstroke emergency department dizziness presentations: A population-based cohort study. Annals of Neurology, 75, 899ā907.
Kerber, K. A., Meurer, W. J., Brown, D. L., et al. (2015). Stroke risk stratification in acute dizziness presentations: A prospective imaging-based study. Neurology, 85, 1869ā1878.
Kheradmand, A., & Zee, D. S. (2012). The bedside examination of the vestibulo-ocular reflex (VOR): An update. Revue Neurologique, 168, 710ā719.
Kim, J. S. (2003). Pure lateral medullary infarction: Clinical-radiological correlation of 130 acute, consecutive patients. Brain: A Journal of Neurology, 126, 1864ā1872.
Kim, J. S., & Han, Y. S. (2009). Medial medullary infarction: Clinical, imaging, and outcome study in 86 consecutive patients. Stroke: A Journal of Cerebral Circulation, 40, 3221ā3225.
Kim, S. H., & Kim, J. S. (2019). Eye movement abnormalities in middle cerebellar peduncle strokes. Acta Neurologica Belgica, 119(1), 37ā45.
Kim, H. A., & Lee, H. (2010). Isolated vestibular nucleus infarction mimicking acute peripheral vestibulopathy. Stroke: A Journal of Cerebral Circulation, 41, 1558ā1560.
Kim, H. A., & Lee, H. (2017). Recent advances in understanding audiovestibular loss of a vascular cause. Journal of Stroke, 19, 61ā66.
Kim, J. S., & Zee, D. S. (2014). Clinical practice. Benign paroxysmal positional vertigo. The New England Journal of Medicine, 370, 1138ā1147.
Kim, J. S., Lee, J. H., Suh, D. C., & Lee, M. C. (1994). Spectrum of lateral medullary syndrome. Correlation between clinical findings and magnetic resonance imaging in 33 subjects. Stroke: A Journal of Cerebral Circulation, 25, 1405ā1410.
Kim, J. S., Lopez, I., DiPatre, P. L., Liu, F., Ishiyama, A., & Baloh, R. W. (1999). Internal auditory artery infarction: Clinicopathologic correlation. Neurology, 52, 40ā44.
Kim, J. S., Choi, K. D., Oh, S. Y., et al. (2005). Medial medullary infarction: Abnormal ocular motor findings. Neurology, 65, 1294ā1298.
Kim, H. A., Yi, H. A., & Lee, H. (2012). Apogeotropic central positional nystagmus as a sole sign of nodular infarction. Neurological Sciences: Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 33, 1189ā1191.
Kim, C. H., Choi, J. M., Jung, H. V., Park, H. J., & Shin, J. E. (2014). Sudden sensorineural hearing loss with simultaneous positional vertigo showing persistent geotropic direction-changing positional nystagmus. Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 35, 1626ā1632.
Kim, H. A., Yi, H. A., & Lee, H. (2016a). Recent advances in cerebellar ischemic stroke syndromes causing vertigo and hearing loss. Cerebellum, 15, 781ā788.
Kim, C. H., Yang, Y. S., Im, D., & Shin, J. E. (2016b). Nystagmus in patients with unilateral acute otitis media complicated by serous labyrinthitis. Acta Oto-Laryngologica, 136, 559ā563.
Kim, S. H., Zee, D. S., du Lac, S., Kim, H. J., & Kim, J. S. (2016c). Nucleus prepositus hypoglossi lesions produce a unique ocular motor syndrome. Neurology, 87, 2026ā2033.
Kommerell, G., & Hoyt, W. F. (1973). Lateropulsion of saccadic eye movements. Electro-oculographic studies in a patient with Wallenbergās syndrome. Archives of Neurology, 28, 313ā318.
Lee, H. (2009). Neuro-otological aspects of cerebellar stroke syndrome. Journal of Clinical Neurology, 5, 65ā73.
Lee, H. (2014). Isolated vascular vertigo. Journal of Stroke, 16, 124ā130.
Lee, H., & Cho, Y. W. (2003). Auditory disturbance as a prodrome of anterior inferior cerebellar artery infarction. Journal of Neurology, Neurosurgery, and Psychiatry, 74, 1644ā1648.
Lee, H., Kim, J. S., Chung, E. J., et al. (2009). Infarction in the territory of anterior inferior cerebellar artery: Spectrum of audiovestibular loss. Stroke: A Journal of Cerebral Circulation, 40, 3745ā3751.
Lee, J. O., Park, S. H., Kim, H. J., Kim, M. S., Park, B. R., & Kim, J. S. (2014a). Vulnerability of the vestibular organs to transient ischemia: Implications for isolated vascular vertigo. Neuroscience Letters, 558, 180ā185.
Lee, S. H., Park, S. H., Kim, J. S., Kim, H. J., Yunusov, F., & Zee, D. S. (2014b). Isolated unilateral infarction of the cerebellar tonsil: Ocular motor findings. Annals of Neurology, 75, 429ā434.
Lee, S. U., Park, S. H., Park, J. J., et al. (2015). Dorsal medullary infarction: Distinct syndrome of isolated central vestibulopathy. Stroke: A Journal of Cerebral Circulation, 46, 3081ā3087.
Lee, S. H., Kim, H. J., & Kim, J. S. (2018). Ocular motor dysfunction due to brainstem disorders. Journal of Neuro-Ophthalmology: The Official Journal of the North American Neuro-Ophthalmology Society, 38(3), 393ā412.
Lefkowitz, D., LaBenz, M., Nudo, S. R., Steg, R. E., & Bertoni, J. M. (1999). Hyperacute ischemic stroke missed by diffusion-weighted imaging. AJNR American Journal of Neuroradiology, 20, 1871ā1875.
Leigh, R., & Zee, D. S. (2015). The neurology of eye movements (5th ed.). New York: Oxford University Press.
Levy, C., Laissy, J. P., Raveau, V., et al. (1994). Carotid and vertebral artery dissections: Three-dimensional time-of-flight MR angiography and MR imaging versus conventional angiography. Radiology, 190, 97ā103.
Mantokoudis, G., Tehrani, A. S., Wozniak, A., et al. (2015). VOR gain by head impulse video-oculography differentiates acute vestibular neuritis from stroke. Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 36, 457ā465.
Mian, O. S., Glover, P. M., & Day, B. L. (2015). Reconciling magnetically induced vertigo and nystagmus. Frontiers in Neurology, 6, 201.
Moon, I. S., Kim, J. S., Choi, K. D., et al. (2009). Isolated nodular infarction. Stroke: A Journal of Cerebral Circulation, 40, 487ā491.
Morita, S., Suzuki, M., & Iizuka, K. (2011). False-negative diffusion-weighted MRI in acute cerebellar stroke. Auris, Nasus, Larynx, 38, 577ā582.
Morrow, M. J., & Sharpe, J. A. (1988). Torsional nystagmus in the lateral medullary syndrome. Annals of Neurology, 24, 390ā398.
Nazerian, P., Bigiarini, S., Pecci, R., et al. (2018). Duplex sonography of vertebral arteries for evaluation of patients with acute vertigo. Ultrasound in Medicine & Biology, 44(3), 584ā592.
Newman-Toker, D. E. (2015). Missed stroke in acute vertigo and dizziness: It is time for action, not debate. Annals of Neurology, 79(1), 27ā31.
Newman-Toker, D. E., & Edlow, J. A. (2015). TiTrATE: A novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurologic Clinics, 33, 577ā599. viii.
Newman-Toker, D. E., Kattah, J. C., Alvernia, J. E., & Wang, D. Z. (2008). Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology, 70, 2378ā2385.
Newman-Toker, D. E., Kerber, K. A., Hsieh, Y. H., et al. (2013a). HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 20, 986ā996.
Newman-Toker, D. E., Saber Tehrani, A. S., Mantokoudis, G., et al. (2013b). Quantitative video-oculography to help diagnose stroke in acute vertigo and dizziness: Toward an ECG for the eyes. Stroke: A Journal of Cerebral Circulation, 44, 1158ā1161.
Norrving, B., & Cronqvist, S. (1991). Lateral medullary infarction: Prognosis in an unselected series. Neurology, 41, 244ā248.
Oppenheim, C., Stanescu, R., Dormont, D., et al. (2000). False-negative diffusion-weighted MR findings in acute ischemic stroke. AJNR American Journal of Neuroradiology, 21, 1434ā1440.
Park, H. K., Kim, J. S., Strupp, M., & Zee, D. S. (2013). Isolated floccular infarction: Impaired vestibular responses to horizontal head impulse. Journal of Neurology, 260, 1576ā1582.
Park, K. M., Shin, K. J., Ha, S. Y., Park, J. S., & Kim, S. E. (2014). A case of acute vestibular neuritis visualized by three-dimensional FLAIR-VISTA magnetic resonance imaging. Neuroophthalmology, 38, 60ā61.
Pasaoglu, L. (2017). Vertebrobasilar system computed tomographic angiography in central vertigo. Medicine, 96, e6297.
Provenzale, J. M., & Sorensen, A. G. (1999). Diffusion-weighted MR imaging in acute stroke: Theoretic considerations and clinical applications. AJR American Journal of Roentgenology, 173, 1459ā1467.
Quint, D. J., & Spickler, E. M. (1990). Magnetic resonance demonstration of vertebral artery dissection. Report of two cases. Journal of Neurosurgery, 72, 964ā967.
Rathakrishnan, R., Sharma, V. K., & Chan, B. P. (2008). Diffusion-negative MRI in acute ischemic stroke: A case report. Cases Journal, 1, 65.
Roberts, D. C., Marcelli, V., Gillen, J. S., Carey, J. P., Della Santina, C. C., & Zee, D. S. (2011). MRI magnetic field stimulates rotational sensors of the brain. Current Biology, 21, 1635ā1640.
Saber Tehrani, A. S., Kattah, J. C., Mantokoudis, G., et al. (2014). Small strokes causing severe vertigo: Frequency of false-negative MRIs and nonlacunar mechanisms. Neurology, 83, 169ā173.
Saber Tehrani, A. S., DeSanto, J. R., & Kattah, J. C. (2017). Neuroimaging āHINTSā of the lateral medullary syndrome. Journal of Neuro-Ophthalmology: The Official Journal of the North American Neuro-Ophthalmology Society, 37, 403ā404.
Sacco, R. L., Freddo, L., Bello, J. A., Odel, J. G., Onesti, S. T., & Mohr, J. P. (1993). Wallenbergās lateral medullary syndrome. Clinical-magnetic resonance imaging correlations. Archives of Neurology, 50, 609ā614.
Searls, D. E., Pazdera, L., Korbel, E., Vysata, O., & Caplan, L. R. (2012). Symptoms and signs of posterior circulation ischemia in the new England medical center posterior circulation registry. Archives of Neurology, 69, 346ā351.
Shaikh, A. M. B., Sundararajan, S., & Katirji, B. (2014). Gravity-dependent nystagmus and inner-ear dysfunction suggest anterior and posterior inferior cerebellar artery infarct. Journal of Stroke and Cerebrovascular Diseases, 23, 788ā790.
Shen, Y. Y., Dai, T. M., Liu, H. L., Wu, W., & Tu, J. L. (2015). Ramsay hunt syndrome complicated by brainstem encephalitis in varicella-zoster virus infection. Chinese Medical Journal, 128, 3258ā3259.
Silbert, P. L., Mokri, B., & Schievink, W. I. (1995). Headache and neck pain in spontaneous internal carotid and vertebral artery dissections. Neurology, 45, 1517ā1522.
Strupp, M., Jager, L., Muller-Lisse, U., Arbusow, V., Reiser, M., & Brandt, T. (1998). High resolution Gd-DTPA MR imaging of the inner ear in 60 patients with idiopathic vestibular neuritis: No evidence for contrast enhancement of the labyrinth or vestibular nerve. Journal of Vestibular Research: Equilibrium & Orientation, 8, 427ā433.
Sue, D. E., Brant-Zawadzki, M. N., & Chance, J. (1992). Dissection of cranial arteries in the neck: Correlation of MRI and arteriography. Neuroradiology, 34, 273ā278.
Sugiura, M., Naganawa, S., Teranishi, M., Sato, E., Kojima, S., & Nakashima, T. (2006). Inner ear hemorrhage in systemic lupus erythematosus. The Laryngoscope, 116, 826ā828.
Tarnutzer, A. A., Berkowitz, A. L., Robinson, K. A., Hsieh, Y. H., & Newman-Toker, D. E. (2011). Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ: Canadian Medical Association Journal = Journal de lāAssociation Medicale Canadienne, 183, E571āE592.
Tieleman, A., Casselman, J. W., Somers, T., et al. (2008). Imaging of intralabyrinthine schwannomas: A retrospective study of 52 cases with emphasis on lesion growth. AJNR American Journal of Neuroradiology, 29, 898ā905.
Tien, R., Dillon, W. P., & Jackler, R. K. (1990). Contrast-enhanced MR imaging of the facial nerve in 11 patients with Bellās palsy. AJNR American Journal of Neuroradiology, 11, 735ā741.
von Brevern, M., Bertholon, P., Brandt, T., et al. (2015). Benign paroxysmal positional vertigo: Diagnostic criteria. Journal of Vestibular Research: Equilibrium & Orientation, 25, 105ā117.
Wallenberg, A. (1895). Acute Bulbaraffection (Embolie der art.cerebellar.post,inf.sinistr.?). Arch Psychiat Nervenkr, 27, 504ā540.
Wallenberg, A. (1901). Anatomischer Befund in einemals āacute bulbar affection (Embolie der Art. cerebellar.post.inf sinistr.?)ā besschriebenen Falle. Arch Psychiat Nervenkr, 34, 923ā959.
Ward, B., & Zee, D. (2016). Dizziness and vertigo during MRI. The New England Journal of Medicine, 375, e44.
Whitehead, R. E., MacDonald, C. B., Melhem, E. R., & McMahon, L. (1998). Spontaneous labyrinthine hemorrhage in sickle cell disease. AJNR American Journal of Neuroradiology, 19, 1437ā1440.
Yacovino, D. A., Akly, M. P., Luis, L., & Zee, D. S. (2018). The Floccular syndrome: Dynamic changes in eye movements and vestibulo-ocular reflex in isolated infarction of the cerebellar flocculus. Cerebellum, 17(2), 122ā131.
Acknowledgments
Although this is a single-authored chapter, I shared many of the comments and personal experiences detailed within with the OSF HealthCare Illinois Neurological Institute Stroke Network, with Jeffrey R. DeSanto, MD, Department of Neuroradiology and with my collaborator, David E. Newman-Toker, MD, PhD.
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Kattah, J.C. (2019). Neuroimaging of theĀ Acute Vestibular Syndrome and Vascular Vertigo. In: Shaikh, A., Ghasia, F. (eds) Advances in Translational Neuroscience of Eye Movement Disorders. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-030-31407-1_16
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