Isolated body lateropulsion caused by a lesion of the rostral vermis

Lee, Hyung

doi:10.1016/j.jns.2006.06.014

Cited by 16 publications

(10 citation statements)

References 16 publications

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“…The ipsilesional body lateropulsion in unilateral ICP lesions may be ascribed to disruption of outputs from the fastigial nucleus to the vestibulospinal and reticulospinal tracts, which would result in decreased muscle tone in the ipsilesional extensors and ipsilesional falling . Alternatively, damage to the ascending dorsal spinocerebellar tract in the ICP conveying unconscious proprioceptive information from the leg and the lower trunk may have led to ipsilesional body lateropulsion . An experimental sectioning of the ICP in monkeys also produced a fall toward the lesion side …”

Section: Unilateral Lesions Restricted To the Icpmentioning

confidence: 99%

Isolated central vestibular syndrome

Kim

Park

Kim

et al. 2015

Annals of the New York Academy of Sciences

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Isolated vestibular syndrome may occur all along the vestibular pathways from the peripheral labyrinth to the brain. By virtue of recent developments in clinical neurotology and neuroimaging, however, diagnosis of isolated central vestibulopathy is increasing. Here, we review five distinct syndromes of isolated central vestibular syndrome from lesions restricted to the vestibular nuclei, the nucleus prepositus hypoglossi, the flocculus, the tonsil, and the nodulus, and introduce a new vestibular syndrome from isolated involvement of the inferior cerebellar peduncle. Decreased responses to head impulses do not exclude a central lesion as a cause of isolated vestibular syndrome. Brain imaging, including diffusion-weighted magnetic resonance imaging (MRI), may be falsely negative during the acute phase in patients with isolated vestibular syndrome because of a stroke. Central signs should be sought carefully in patients with isolated vertigo, even when the patients show the features of peripheral vestibulopathy and negative MRIs. Recognition of these isolated central vestibular syndromes would aid in defining the lesions responsible for various vestibular manifestations in central vestibulopathy.

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Section: Unilateral Lesions Restricted To the Icpmentioning

confidence: 99%

Isolated central vestibular syndrome

Kim

Park

Kim

et al. 2015

Annals of the New York Academy of Sciences

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“…In conclusion, I have previously reported body lateropulsion as an isolated or predominant symptom of medullary [3] , pontine [4] or rostal vermal [5,10] infarctions. Together, these reports highlight the importance of acute, severe, gait ataxia with body lateropulsion as the presenting manifestation of vertebrobasilar ischemic stroke.…”

Section: Discussionmentioning

confidence: 66%

Body Lateropulsion as a Presenting Symptom of Rostral Paramedian Midbrain Syndrome

Lee¹

2008

Eur Neurol

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“…Posterior circulation stroke can manifest with isolated postural deficits. 16 Standardised assessment of sway and falling tendency have been largely neglected in previous trials on this topic.…”

Section: Discussionmentioning

confidence: 99%

Protocol for a prospective interventional trial to develop a diagnostic index test for stroke as a cause of vertigo, dizziness and imbalance in the emergency room (EMVERT study)

et al. 2017

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IntroductionIdentifying stroke as a cause of acute vertigo, dizziness and imbalance in the emergency room is still a clinical challenge. Many patients are admitted to stroke units, but only a minority will have strokes. This imposes a heavy financial burden on the healthcare system. The aim of this study is to develop a diagnostic index test to identify patients with a high risk of having a stroke as the cause of acute vertigo and imbalance.Methods and analysisPatients with acute onset of vertigo, dizziness, postural imbalance or double vision within the last 24 hours lasting for at least 10 min are eligible to be included in the study. Patients with clinically proven peripheral or central aetiology will be excluded. In the emergency room, all enrolled patients will undergo standardised neuro-ophthalmological/physiological testing (including video-oculography, mobile posturography, measurement of subjective visual vertical) (EMVERT block 1). Within 10 days, standardised MRI will be performed as a reference test to identify stroke (EMVERT block 2). Data from EMVERT block 2 will be compared with results from block 1 in order to devise a diagnostic index test with a high specificity and sensitivity to predict the risk of stroke in the emergency room.Ethics and disseminationThe study was approved by the ethics committee of the University of Munich and will be conducted according to the Guideline for Good Clinical Practice, the Federal Data Protecting Act and the Helsinki Declaration of the World Medical Association in its recent version. Study results are expected to be published in international peer-reviewed journals and will be presented at international conferences.Trial registration numberGerman Clinical Trial Register: DRKS00008992; Universal trial number: U1111-1172-8719); pre-results.

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Isolated body lateropulsion caused by a lesion of the rostral vermis

Cited by 16 publications

References 16 publications

Isolated central vestibular syndrome

Isolated central vestibular syndrome

Body Lateropulsion as a Presenting Symptom of Rostral Paramedian Midbrain Syndrome

Protocol for a prospective interventional trial to develop a diagnostic index test for stroke as a cause of vertigo, dizziness and imbalance in the emergency room (EMVERT study)

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