Incidence of rotational vertigo in supratentorial stroke: A prospective analysis of 112 consecutive patients

Anagnostou, Evangelos; Spengos, K.; Vassilopoulou, Sofia; Paraskevas, George P.; Zis, Vassilios; Vassilopoulos, D.

doi:10.1016/j.jns.2009.11.015

Cited by 30 publications

(22 citation statements)

References 24 publications

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“…As in other studies, only a few stroke patients had rotational vertigo in our study (8/63) (Brandt, Botzel et al, 1995;Anagnostou, Spengos et al, 2010) and the majority reported unsteadiness (31/63). We do not know if the feeling of unsteadiness included fear of falling or was caused by the hemiparesis.…”

Section: Discussionsupporting

confidence: 82%

“…However, patients who have dizziness severe enough to be hospitalized with the diagnosis vertigo are at higher risk of stroke than the general population (Lee, Su et al, 2010). Spinning sensations seem to be unusual among patients with supratentorial lesions, but some hemispheric stroke patterns may be related to non-rotational dizziness (Anagnostou, Spengos et al, 2010). The risk of falling increases after stroke (Lim, Jung et al, 2012) and dizziness is also a risk factor of falling (Moreland, Richardson et al, 2003) but prevalence of remaining dizziness after a stroke is not known.…”

Section: Introductionmentioning

confidence: 99%

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Stroke and unsteadiness – A cross-sectional study from primary health care

Hansson

Beckman

Näslund³

et al. 2014

NRE

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BACKGROUND: Dizziness is seldom the only symptom among patients who develop stroke but patients, hospitalized for vertigo are at higher risk of stroke than the general population. The proportions of patients who have remaining dizziness after a stroke seem to be unclear. OBJECTIVES: To study the frequency of dizziness among stroke patients referred to rehabilitation in primary health care and to study the relation between dizziness and gender, age, activity and self-rated health. METHODS: Patients with first-time stroke who were referred to rehabilitation in primary health care after the initial hospital stay were included. Dependence/independence in daily activities and self-rated health was measured. A question about whether the patient had experienced any dizziness or unsteadiness was asked. RESULTS: Sixty three patients were included in the study, (39 men, 24 women) aged 36-85 years. The majority of patients were dizzy (70%). Being female increased the risk of being dizzy substantially (OR 9.43). Patients with dizziness had poorer self-rated health than patients without dizziness (p = 0.001). CONCLUSION: Dizziness is a common symptom among patients with stroke, especially among female patients, and is associated with lower self-rated health. Therefore, it is important to address dizziness in the rehabilitation of stroke patients.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Stroke and unsteadiness – A cross-sectional study from primary health care

Hansson

Beckman

Näslund³

et al. 2014

NRE

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“…Our current DWI study suggests that AVS/EVS is also a symptom of anterior circulation impaired. This problem has been found by previous study [20].…”

Section: Discussionsupporting

confidence: 75%

Acute and episodic vestibular syndromes caused by ischemic stroke: predilection sites on diffusion-weighted images

Tong¹,

Chen

Zhou

et al. 2019

Preprint

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Background Although acute vestibular syndrome (AVS) and episodic vestibular syndrome (EVS) are an increasingly recognized cause of acute ischemic stroke, the predilection sites of AVS/EVS caused by acute ischemic stroke still is less known. Methods From Mar 2014 to Mar 2016 period, we used a new approach of 11thedition of the International Classification of Diseases (ICD-11) to retrospectively enrolled patients with identified AVS/EVS events caused by acute ischemic stroke in the stroke center of tertiary teaching hospital. The patients who had positive diffusion-weighted images (DWI) lesion and MRA were analyzed. Multivariable logistic regression was used to identify the risk of stroke causing AVS/EVS. Results Among 181 AVS/EVS patients with ischemic stroke, 68 (37.6%) patients with acute ischemic stroke were proved by DWI. Of them, the most frequent type was EVS (60.3%); the predilection sites of stroke was in the insular (51.7%, 15/29) in the anterior circulation artery (ACA), followed by the posterior of thalamus (28.6%, 8/28) in the posterior circulation artery (PCA). The lesion on DWI showed a median diameter of 4.0mm (range,0.6-89.4). The risk of AVS/EVS in acute ischemic stroke was found in association with large vessel stenosis/ occlusion (odds ratio[OR],, 0.12; 95% confidence interval [CI], 0.040-0.357), focal neurological symptom /sign (OR, 0.27; 95% CI, 0.104-0.751), and higher initial ABCD2 score (OR, 0.37; 95% CI, 0.239-0.573). Conclusions The predilection site of the AVS/EVS caused by acute ischemic stroke is in the insular. The risk of AVS/EVS was associated with a large vessel stenosis, focal neurological symptoms, and higher initial ABCD2 score.

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“…27,41 §Acute vestibular syndrome secondary to cerebrovascular disease is strongly associated with posterior fossa infarcts. 6 Transient dizziness may be present in up to 10% of patients with right-hemispheric stroke, 42 and patients with isolated insular or parietal infarction may present with dizziness (including true vertigo) as the chief symptom. 43,44 However, the precise duration of symptoms and the extent to which the clinical pattern may match that of acute vestibular syndrome remains unknown.…”

Section: Typementioning

confidence: 99%