Lee Jun, Song Kudamo, Yu In Kyu, Lee Ho Yun
Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Department of Radiology, Eulji University Medical Center, Eulji University School of Medicine, Daejeon, Korea.
J Audiol Otol. 2019 Jul;23(3):167-172. doi: 10.7874/jao.2018.00528. Epub 2019 Jun 25.
Differentiating central vestibulopathy from more common vestibular disorders is crucial because it often necessitates different treatment strategies, and early detection can help to minimize potential complications. Isolated nodular infarct is one of the central brain lesions that can mimic peripheral vertigo. We present a case of isolated nodular infarct that had been misdiagnosed as vestibular neuritis on the contralateral side at the initial evaluation. The patient was successfully treated with anticoagulants and antihyperlipidemic agents. Clinicians should keep in mind that some causes of central vertigo mimic peripheral vestibulopathy at the early stage.
区分中枢性前庭病变与更常见的前庭疾病至关重要，因为这通常需要不同的治疗策略，而且早期检测有助于将潜在并发症降至最低。孤立性结节性梗死是一种可模拟外周性眩晕的中枢性脑病变。我们报告一例孤立性结节性梗死病例，该病例在初始评估时被误诊为对侧前庭神经炎。患者通过抗凝剂和抗高脂血症药物成功治愈。临床医生应牢记，某些中枢性眩晕病因在早期可模拟外周性前庭病变。
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