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Case 40 - A Young Man with More Than Dizziness

from Section 6 - Movement Disturbances

Published online by Cambridge University Press:  27 July 2023

Mark McCarron
Affiliation:
Ulster University
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Summary

A 45-year-old man, who was a non-smoker and rarely drank alcohol, was admitted to hospital with new and sudden onset of headache, dizziness and vomiting. He described the floor and walls moving towards him. He also felt a spinning sensation. He was unsteady. Movement seemed to exacerbate the dizziness and vomiting. He remained unsteady in hospital but the dizziness improved. Past medical history was unremarkable. He was on no medication.

Type
Chapter
Information
55 Cases in Neurology
Case Histories and Patient Perspectives
, pp. 275 - 280
Publisher: Cambridge University Press
Print publication year: 2023

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References

Zwergal, A, Dieterich, M. Vertigo and dizziness in the emergency room. Curr Opin Neurol. 2020;33(1):117–25.CrossRefGoogle ScholarPubMed
Krishnan, K, Bassilious, K, Eriksen, E et al. Posterior circulation stroke diagnosis using HINTS in patients presenting with acute vestibular syndrome: a systematic review. Eur stroke J. 2019;4(3):233–9.CrossRefGoogle ScholarPubMed
Edlow, JA, Gurley, KL, Newman-Toker, DE. A new diagnostic approach to the adult patient with acute dizziness. J Emerg Med. 2018;54(4):469–83.CrossRefGoogle Scholar
Matsumoto, J, Ogata, T, Abe, H et al. Do characteristics of dissection differ between the posterior inferior cerebellar artery and the vertebral artery? J Stroke Cerebrovasc Dis. 2014;23(10):2857–61.CrossRefGoogle ScholarPubMed

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