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Nelson JA, Viirre E. The clinical differentiation of cerebellar infarction from common vertigo syndromes. West J Emerg Med. 2009;10(4):273-7
Nelson, J. A., & Viirre, E. (2009). The clinical differentiation of cerebellar infarction from common vertigo syndromes. The western journal of emergency medicine, 10(4), 273-7.
Nelson, James A, and Viirre, Erik. "The clinical differentiation of cerebellar infarction from common vertigo syndromes." The western journal of emergency medicine vol. 10,4 (2009): 273-7.
Nelson JA, Viirre E. The clinical differentiation of cerebellar infarction from common vertigo syndromes. West J Emerg Med. 2009 Nov;10(4):273-7. PMID: 20046249; PMCID: PMC2791733.
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West J Emerg Med. 2009 Nov;10(4):273-7.

The clinical differentiation of cerebellar infarction from common vertigo syndromes.

The western journal of emergency medicine

James A Nelson, Erik Viirre

Affiliations

  1. University of California at San Diego, Department of Emergency Medicine.

PMID: 20046249 PMCID: PMC2791733

Abstract

This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of common vertigo syndromes such as benign paroxysmal positional vertigo, Meniere's disease, migrainous vertigo, and vestibular neuritis is summarized. Confirmation of a peripheral vertigo syndrome substantially lowers the likelihood of cerebellar infarction, as do indicators of a peripheral disorder such as an abnormal head impulse test. Approximately 10% of patients with cerebellar infarction present with vertigo and no localizing neurologic deficits. The majority of these may have other signs of central vertigo, specifically direction-changing nystagmus and severe ataxia.

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