Posterior Inferior Cerebellar Artery Stenosis Presenting as Recurrent Orthostatic Dizziness

نویسندگان

چکیده

We report a unique case of vertebrobasilar transient ischemic attacks manifesting as isolated, recurrent, orthostatic dizziness with posterior inferior cerebellar artery (PICA) stenosis. A 57-year-old male patient without past medical history, presented brief for 2 weeks. There was no associated nausea, vomiting, diplopia, or weakness. On neuro-otologic examination, the did not show spontaneous, positional, gaze-evoked nystagmus. Vestibular function tests such caloric test, head impulse video-oculography, and tilt table test were normal. Brain diffusion-weighted images showed multiple small high signal intensities in bilateral hemispheres. magnetic resonance angiography revealed hypoplasia right vertebral focal intracranial Four-vessel cerebral angiogram severe stenosis at PICA artery. Our patient’s clinical scenario appears hemodynamic spells symptoms signs circulation ischemia. Physicians should also consider cerebrovascular when suffers repeated that is explained clinically.

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ژورنال

عنوان ژورنال: Research in vestibular science

سال: 2022

ISSN: ['2092-8882', '2093-5501']

DOI: https://doi.org/10.21790/rvs.2022.21.2.53