Posterior circulation stroke: other clinical syndromes

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Posterior circulation stroke: other clinical syndromes. Skew deviation. Fully referenced neurology checklist.

Acute vestibular syndrome

  • Skew deviation
  • Central nystagmus: this is pure vertical and rotational
  • Dizziness
  • Hearing loss
  • Vertigo
  • Internuclear ophthalmoplegia (INO)
  • Normal head impulse test
  • Abnormal vertical smooth pursuits

Cerebellar syndrome

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Paramedian pontine syndrome

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Wernekink commissure syndrome

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References

  1. Chen L, Lee W, Chambers BR, Dewey HM. Diagnostic accuracy of acute vestibular syndrome at the bedside in a stroke unit. J Neurol 2011; 258:855-861.
  2. Lee H, Sohn SI, Cho YW, et al. Cerebellar infarction presenting isolated vertigo. Neurology 2006; 67:1178-1183.
  3. Kim JS. Internuclear ophthalmoplegia as an isolated or predominant symptom of brainstem infarction. Neurology 2004; 62:1491-1496.
  4. Kataoka S, Hori A, Shirakawa T, Hirose G. Paramedian pontine infarction. Neurological/topographical correlation. Stroke 1997; 28:809-815.
  5. Kim JS, Lee JH, Im JH, Lee MC. Syndromes of pontine base infarction. a clinical-radiological correlation study. Stroke 1995; 26:950-955.
  6. And 9 more. Subscribe to see the full list

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